the Guides to the Evaluation of Permanent Impairment. The distinguishing feature of the second edition is that it draws on the knowledge-base of the fourth edition of the Guides, by demonstrating through example differences with the Guides Fifth Edition. Thirty new cases offer entirely new content unique to the Guides Fifth and provides the basis to understand new issues that examiners encounter. The clinician can evaluate these cases and compare their assessment to the expert, who discusses how they evaluated each case. Musckuloskeletal disorders are most common, and therefore, the majority of the cases deal with upper/lower extremity and spinal problems.

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