Musculoskeletal & Orthopaedics

Common childhood orthopaedic problems - Andrew Graydon

Doctor Andrew Graydon talks about common childhood orthopaedic problems. Andrew is a paediatric orthopaedic surgeon at Starship children’s hospital and at Eastwood orthopaedic clinic in Auckland. His areas of interest are general paediatrics, hip foot and ankle surgery along with musculoskeletal oncology.

Osteoarthritis - Dan Exeter

Dr Dan Exeter talks about non-surgical management of osteoarthritis. Dan is a sport and exercise physician based at Axis Sports Medicine clinic in Auckland. He is medical director for Athletics New Zealand and a senior lecturer at the University of Auckland.

Radial head fractures

Fractures of the radial head are common, they are seen in 20% of all acute elbow injuries and make up one third of all elbow fractures. These fractures typically occur after a fall when an axial load is applied to the forearm, causing the radial head to hit the capitulum of the humerus (fall onto the outstretched hand). Radial head fractures are more common in females and occur most frequently between 30-40 years of age. Patients typically present with relatively localised pain and swelling around the lateral elbow.

Acute low back pain

Acute low back pain is common and can occur without any definite event or injury. Back pain is second only to URTI in terms of days lost from work due to illness or injury. There are a large number of causes of low back pain and a definitive structural diagnosis is possible in less than 10% of patients.  

MercyAscot - Paediatric Care Update

At this 1day MercyAscot Education Series workshop Orthopaedic Surgeon Andrew Graydon, General Surgeon James Hamill and ENT Surgeon Melanie Collins covered a range of paediatric topics, including hernias, ENT issue and the challenges of managing paediatric patients.

Sports-related concussion

Sports-related head injuries and concussion can be difficult to assess and manage. It's important to have a consistent approach to the assessment and management of head injuries to ensure that an accurate diagnosis is made and to allow individuals to safely return to sport and to the workplace. 

After completing this short course, you should:

Shaken baby syndrome

Shaken baby syndrome (SBS) is the leading cause of preventable, traumatic head injury in those under the age of two years. The term SBS is the most commonly used internationally although remains controversial as it indicates one exact cause of injury.

Achilles tendon rupture: diagnosis & treatment

The Achilles tendon attaches the gastrocnemius, the soleus and plantaris muscles to the calcaneus. It is one of the longest and thickest tendons in the body and is a powerful plantar flexor of the foot and ankle.

The two most common pathologies involving the Achilles tendon are tendinopathy and rupture. Patients with tendinopathy typically describe a gradual onset of pain, while ruptures are associated with an acute event.

Rotator cuff: acute injuries

Rotator cuff pathology comprises a wide range of different problems. At one end of the spectrum is a patient with acute rotator impingement. These patients may have an anatomically normal rotator cuff and have symptoms which have been provoked by an acute bout of activity. In this situation the problem will generally settle with a short period of rest.

Patellofemoral pain syndrome

Patellofemoral pain is a common presentation in primary care. It is most commonly seen in those below the age of forty years; however it can affect people of all ages and activity levels. In adolescents the onset of pain can coincide with periods of accelerated growth, while in older patients it often co-exists with degenerative joint changes.

The term ‘patellofemoral syndrome’ is usually reserved to describe the younger patient with an anatomically normal (or near normal) knee.

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