Category Archives: Orthopaedics

Snippets

A few quick snippets from the 19th Nov BMJ: Duloxetine increases the risk of adverse psychiatric events – anxiety, agitation, self-harm, psychotic behaviour – by more than five times, according to a new Nordic Cochrane Centre meta-analysis although this article … Continue reading

Posted in Incontinence, Ligaments, Medication, Minor but annoying | Leave a comment

Metastatic spinal cord compression

Presentation Pain The most common first symptom – 95% of patients will present initially with pain. May be present for up to two months before signs appear. May be localised in/around spinal column, or may be radicular (unilateral or bilateral) … Continue reading

Posted in Don't miss, Neurology, Orthopaedics, Uncategorized | Leave a comment

Achilles tendon rupture

Risk factors include: Age Quinolones Steroids (systemic or previous injections in/around tendon) Achilles tendinopathy Be aware that even a complete rupture may not be painful, and that patients with an Achilles tendon rupture may still be able to stand on … Continue reading

Posted in Orthopaedics, Tendons | Leave a comment

Reactive arthritis

(BMJ module on STIs) My name is (almost) a disease, it seems. Reactive arthritis is a sterile arthritis triggered by an infection elsewhere, typically urogenital or gastrointestinal, and SARA stands for sexually acquired reactive arthritis, most often triggered by chlamydia. … Continue reading

Posted in Infectious Diseases, Joints | Leave a comment

Walking programme for back pain

Prescriber cites an interesting study on the use of a walking programme for back pain: Pain 2015; 156(1): 131 – 47. In this RCT, the use of a walking programme, usual tailored physical therapy, and a weekly group exercise class, … Continue reading

Posted in Back pain, Credits 2015, Orthopaedics | Leave a comment

Foot drop

Possible sites of lesions causing foot drop, working from superior to inferior: L5 nerve root Sciatic nerve Common peroneal nerve Deep peroneal nerve Superficial peroneal nerve Working through the other symptoms associated with different sites, in reverse order of the … Continue reading

Posted in Credits 2015, Orthopaedics | Leave a comment

Anterior knee pain

Alternative names: patellofemoral pain syndrome, cinema knee, theatre-goer’s knee. (Why the last two, I have no idea; it’s linked with athletics.) What it is: A broad term for anterior knee pain with no specific identified cause, usually due to a … Continue reading

Posted in Joints, Orthopaedics | Leave a comment