Category Archives: Orthopaedics

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

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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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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

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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