Pain over the out aspect of the hip, on the boney prominence is relatively common. Historically the presumed diagnosis was “bursitis” and in fairness, a cortisone injection to that bursa often relieved the pain, and although it might need to be repeated once or twice, the treatment worked. Sometimes the pain keeps recurring. MRI scan should be undertaken.
The ankle syndesmosis refers to how the tibia and fibula are held together at the ankle joint. Because of the shape of the joint, the two bone should “spring” apart when weight placed through the leg.
A randomised controlled trial comparing knee replacement cases with or without tourniquet use has demonstrated that using the tight cuff around the thigh actually causes muscle weakness after the surgery.
We don’t routinely use ultrasound to assess ankle injuries. A plain XR excludes ankle fractures & 5th metatarsal base fractures
Acute calcification of the shoulder hurts. Badly. Some people require strong narcotic medications for the pain in addition to simple analgesics like paracetamol and antiinflammatories.
Clavicle fractures have had quite a discussion at the Australian Orthopaedic Association Annual General Meeting 2015 in Brisbane.
“Doing a Hammy” is not always the same injury. Most commonly, it is a partial tear within the muscle, and anti-inflammatories and physiotherapy are all that is required (and of course more stretching before exercise next time!)
On of the issues after knee replacement surgery is pain and inflammation. In 2012, we did a randomised controlled trial on knee replacements.
Knee arthroscopy has been a godsend to people with knee complaints, one of the most common being a torn cartilage. The historical operation was on open menisectomy, but even in 1937 it was observed that menisectomy lead to degeneration of the compartment, and eventual arthritis.
A project on hip replacement technique has won the Queensland Orthopaedic Registrar’s Prize.
