Category Archives: Orthopaedics

Hip pain in young adults

Like everyone else in medical school, I learned the likely differential diagnoses of hip pain with age; various causes for the various stages of childhood, then osteoarthritis for older people. There is, of course, a big gap there for young … Continue reading

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Degenerative cervical myelopathy

This is the new name for the conditon formerly known as cervical spondylotic myelopathy, and is spinal cord dysfunction from compression in the neck due to degenerative change (disc herniation, ligament hypertrophy/ossification, osteophyte formation). Presentation Gradual onset and worsening of … Continue reading

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Acute rotator cuff tears

A possible complication of acute shoulder trauma. Unlike chronic tears, an acute tear needs fairly urgent repair but is easily missed. If a person cannot lift their arm past 90 deg following acute shoulder trauma, they need same-day X-ray and … Continue reading

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Arthroplasties – the post-op period

This BMJ article covers post-op management of shoulder, hip, or knee arthroplasty. A lot of this is obviously going to be managed by the surgical team in question, but there are invariably GP queries, so I thought it was worth … Continue reading

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Sports hernia

Yet another one (pretty much the last, for now) from the archives. This article comes from the BJGP of March 2013. ‘Sports hernia’ – also known as sportsman’s hernia, athletic pubalgia, and Gilmore’s groin – is not, in fact, a … Continue reading

Posted in Credits 2017, Orthopaedics, Sports medicine | 1 Comment

Diagnosing Achilles tendon rupture

Another one from the archives; this one from the BJGP of December 2015. Acute Achilles tendon rupture is easily missed, since a patient may demonstrate all of the following on examination: Lack of a palpable gap in the tendon – … Continue reading

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Normal lower limb variants in children

Another very useful one from the archives; a BMJ article from 2015 about which issues with children’s legs don’t have to be referred to orthopaedics. Always good to know. Possible normal lower limb variants Rotational: intoeing and outtoeing Angular: genu … Continue reading

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