This guide is designed to help you take a safe, structured, and clinically relevant history when assessing a patient with acute joint pain or swelling. It focusses on gathering the key information needed to identify red flags (such as septic arthritis), build a differential diagnosis, and guide appropriate investigations. “I’d like to ask you a
Immobilisation of the lower limb is a key aspect of managing fractures, ligamentous injuries, and post-operative recovery in Trauma and Orthopaedics. Proper immobilisation supports healing, protects injured structures, reduces pain, and allows safe mobilisation during the early phases of recovery. This article provides an overview of the common lower limb immobilisation methods used in clinical
Immobilisation of the upper limb is a fundamental component of managing fractures, soft tissue injuries, and post-operative recovery in Trauma and Orthopaedics. This article provides an overview of the common methods used in clinical practice, outlining their indications, benefits, and key principles to support safe and effective patient care. Casts Backslab and Full Plaster of
A fascia iliaca block (FIB) is a regional anaesthetic technique where local anaesthetic is deposited beneath the fascia iliaca to block the femoral, lateral femoral cutaneous, and often obturator nerves. It is commonly used for analgesia in hip and proximal femur fractures, particularly neck of femur fractures. Approaches include the landmark (anatomical) technique, which will be
This guide is designed to help you identify the key areas you need to focus on when clerking a surgical patient. There are several differences when compared to clerking a medical patient, namely getting a more extensive surgical past medical history, examination and assessing frailty. Your clerking needs to be succint, pertinent and clear. Presenting
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
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:·    Â
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.
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.
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:Â Standard views for assessing ankle injuries. Complex Fractures in the Ankle
