Category: Orthopaedics

Infective Flexor Tensosynovitis (Flexor Sheath Infection)

Introduction Epidemiology Flexor sheath infections prevalence ranges from 2.5% to 9.4% of hand infections2. Pathophysiology Clinical Features Differential Diagnosis Infectious: felon, herpetic whitlow cellulitis, septic arthritis, collar button abscess, deep space infections5. Noninfectious: gout, autoimmune e.g. rheumatoid arthritis, overuse tenosynovitis5. Investigation Management Immediate management: Operative management: Non-operative management: Complications Complication rates can reach as high

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Basic Fracture Management

Whether you’re interested in orthopaedics or not, knowledge of basic fracture management can be useful in any ED. Start at the beginning… As with any other patient, take a focused history.  What happened and why?  Sometimes this can be more important, especially if the patient cannot recall the event. Things to ask and think about:·     

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Hand Infections

Hand infections are a common presentation, they can spread rapidly and cause damage to local structures and therefore require prompt identification and treatment. Causes Hand infections can be the result of a penetrating injury (e.g. splinter, rose thorn), bites (animal or human), contiguous spread from an adjacent structure or there may be no identifiable trigger.

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Upper Limb X-ray Interpretation

In the webinars below, Dr June Lau & Dr Henry de Boer (radiology registrars) provides a structured approach to interpreting shoulder, elbow, forearm, wrist & hand x-rays, with an overview of common cases & pitfalls.

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Lower Limb X-Ray Interpretation

In the webinar below, Dr Joe Kang (radiology registrar) provides a structured approach to interpreting knee, ankle & foot x-rays, with an overview of common cases & pitfalls. Key Points Knee X-Ray Views Fracture Examples in the Knee Ankle X-Ray Views AP and Lateral Views: Standard views for assessing ankle injuries. Complex Fractures in the Ankle

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Open Fractures

Introduction Clinical Definition An open fracture is when the broken bone breaks through the skin or any other body cavity that is open to the outside, including those through the rectum or vagina.  Classification  Gustilo and Anderson Classification1,2 Type Wound Size Contamination Fracture Arterial injury requiring repair Soft Tissue Coverage 1 < 1cm Minimal Minimal

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Understanding the MSRA

The Multiple Specialty Recruitment Assessment (MSRA) is a computer-based exam increasingly being used by many different specialties as part of core training applications. For all specialties, the MSRA score will contribute to or be the sole consideration for shortlisting candidates for limited interview slots for each specialty. Subsequently, the MSRA score will also (often) contribute

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Compartment Syndrome

Acute Compartment Syndrome is one of the few orthopaedic emergencies. If missed, it can lead to severe and life-changing consequences for the patient. This article will focus on acute compartment syndrome of the limbs. What is compartment syndrome? Let’s start by understanding a couple key principles and definitions. A compartment is a group of muscles

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Orthogeriatrics

Fragility fractures in the elderly As a resident doctor on call, in geriatrics or in orthopaedics – you will frequently look after frail and elderly patients with multiple co-morbidities admitted with fragility fractures providing input on their pre & post-operative care. Fragility fractures are fractures that result from mechanical forces that would not ordinarily result

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