This document provides prefaces for multiple editions of an atlas of musculoskeletal pathology. It describes the author's goal of creating a comprehensive teaching resource including over 10,000 digital images covering neoplastic and non-neoplastic musculoskeletal conditions. It acknowledges contributions from colleagues who provided additional cases. Each new edition expanded the scope by adding new sections, increasing the number of images, and improving the digital format.
2. Preface to the First Edition
This large collection of nearly 5000 digital images relating
the subject of musculoskeletal oncology is a sequel to the
1800 Kodachrome slide collection that I produced in 1967 as a
teaching aide for my students of orthopedic surgery at UCSF.
Over the past 35 years since then my ever growing student
population and my many friends and fellow members of the
American Musculoskeletal Tumor Society and the International
Society of Skeletal Radiology have encouraged me to collect
once again from my past 35 years of clinical experience as an
orthopedic oncologist in the San Francisco Bay area. Most of
the cases in this atlas are taken directly from my practice of
orthopedics at UCSF and the Kaiser Foundation Hospital
system of Northern California. Many other cases were direct
referrals from my many friends in the field around the world.
Most of the macro section slides were given to me by Dr Howard
3. Hatcher and reflect his great experience while at the University
of Chicago back in the 1950’s.
A very special thanks goes to my wife MaryBee and my
research assistant at UCSF Elizabeth Jameson who taught me
everything I know about computers and helped me edit the
text that goes with the cases placed on the internet.
Another special thanks goes to my many friends in the
BIOMET CORPORATION of Warsaw Indiana who’s large
educational grant made the production of this atlas possible.
Jim Johnston
September 2005
4. Preface to the Second Edition
In this second edition to the first Atlas completed in Sept.
2005, I have made several helpful improvements. The first
improvement was to break up the original eight volume atlas
into seventeen sections to dramatically increase the speed of
bringing your images up on your computer screen. The second
improvement was to place a complete discussion beneath each
digital image that can be viewed while in the editing mode of
your power point program. And the third improvement was to
add one hundred new clinical cases marked with decimal point
case numbers and taken from the combined experience of
myself and Dr Andy Fang working with a base pool of 3.5
million Kaiser Foundation Hospital patients in Northern
California.
Jim Johnston
July 2007
5. Preface to the Third Edition
Two more years have flown by since the last edition
and I have continued to add 100 new cases each year
which means 200 new cases have been added to this
third edition that can be recognized by a decimal point
in the power point CD program case numbers. These
new cases will be added following a similar diagnostic
case or in the case of pseudotumors, they will be placed
following a tumor case that it looks like. Please note that
the program on the internet (www.tumor library.com) has
not been upgraded with new cases because of the expense
involved doing so. I hope you all enjoy my work of love.
Jim Johnston March, 09
6. Preface to the Fourth Edition
In this fourth edition I have finally added three completely
new sections on infectious diseases of bone, metabolic bone
diseases and congenital disorders. This includes the slides
that I put out in 1967 as a teaching set for resident training
plus an update and includes the great slides taken from
Dr. Howard Steele’s collection on orthopedic dysplasias.
In addition there are another 100 new cases from the last
two year experience working with Dr. Andy Fang at Northern
California Kaiser. This brings the collection up to 7000
digital images with 2.5 gigabits of memory. Hope you will
enjoy the new sections of none neoplastic conditions.
Jim Johnston MD
Sept. 2010
7. Preface to the Fifth Edition
With this fifth edition I have now reached my original goal to finalize
a complete comprehensive teaching atlas on orthopedic pathology that
includes 5000 digital images of musculoskeletal neoplasms and the more
recent addition of 3000 images covering none neoplastic pathology
including infections, metabolic bone diseases, congenital defects and
now this year I have included the final section on arthropathies, osteo-
necrosis and osteochondroses a total of 2.6 GBs of memory. For the
past ten years Dr. Andy Fang of Kaiser South San Francisco has played
a major role in the addition of new cases that can be identified by a
decimal point case number in the neoplastic sections vol. 1 through 18.
In the immediate future we are working on a new PDF version of this
current power point atlas with a word search capability. The original
neoplastic vols 1-18 are still on the internet(www.tumorlibrary.com)
and we are considering an upgrade to the current fifth edition.
Jim Johnston MD
Sept. 2011
8. Contents for Volume 1
Osteoid osteoma--------------------------------Case 1-50
Osteoblastoma----------------------------------Case 51-94
Osteofibrous dysplasia-------------------------Case 95-101
Ossifying fibroma of jawbone----------------Case 102-107
Volume 2
Classic osteosarcoma-----------------Case 108-9 & 451-490
Bone forming pseudotumors------Case 491-498