Kinematic MRI of the Joints: Functional Anatomy, Kinesiology, and Clinical Applications. (Reviews of books, computer software, and videotapes are written by invitation).

Kinematic MRI of the Joints: Functional Anatomy, Kinesiology, and Clinical Applications Shellock FG, Powers CM, eds. Boca Raton, FL 33431, CRC Press, 2001, hardcover, 389 pp, illus, ISBN: 0-8493-0807-0, $119.95.

This volume brings together 28 contributing authors who are experts in kinesiological and magnetic resonance image (MRI) scanning. The anatomic regions discussed are organized into 7 parts: "Lumbar Spine," "Cervical Spine," "Ankle," "Patellofemoral Joint," "Shoulder," "Temporomandibular Joint," and "Wrist." Part VIII describes special procedures that have been developed recently to analyze the knee in an upright, weight-bearing position and to analyze the patellofemoral joint using "extremity" magnetic resonance imaging (MRI) versus a traditional "whole-body" system. The hip joint, however, was not discussed.

Each part of the book is subdivided into 2 or 3 chapters, the first dealing with functional anatomy and kinesiology and the last chapter with MRI analysis. The use of dynamic (versus static) scanning procedures is what distinguishes the MRI analysis chapters from other books on the same topic. This permits the clinician to consider joints and other systems while they move normally and when they are injured or diseased.

Each chapter on functional anatomy and kinesiology provides a reasonably comprehensive overview of structure and function, complimented by a generous use of labeled line drawings. Reference citations are numerous and up to date. In some cases, the authors cite older studies that provide a historical background for current discussions. Chapters on dynamic MRI analysis offer a complete discussion of normal and abnormal structure using serial magnetic resonance images. Arrows and other graphic devices point out specific details described in captions. In some cases, the joints are loaded to demonstrate the effect of stress on articular and soft tissues. In addition to serial images, the authors provide line drawings and photographs of new devices that position the limbs or trunk permitting dynamic analysis.

The text is well written; however, in some cases, it describes imaging techniques (eg, injection of contrast materials) that may not be understood by a reader who does not have prior knowledge of MRI systems. To that end, an introductory chapter providing an overview of MRI methodology and techniques would be helpful to readers with limited experience with MRI. This limitation is somewhat offset by a comprehensive glossary of terms. An excellent, cross-referenced index is also provided.

This text will be useful to physical therapists, occupational therapists, and other health care professionals whose clinical focus is musculoskeletal diagnosis and treatment of the spine and extremities. As the editors point out, what sets this book apart from other texts on MRI analysis is its focus on dynamic, and therefore functional, analysis compared with the traditional "static" approach.

Andrew L McDonough, PT, EdD
New York University
New York, NY

Dr McDonough is an Associate Professor of Physical Therapy and teaches anatomy and kinesiology. His current research interest involves quantification, perception, and replication of manually applied forces to simulated soft tissues.