Specialists

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Triceps Tendon Rupture

SYMPTOMS

There is acute onset of pain and bleeding around the triceps, tendor insection at the olecranon of the elbow, and loss of extension power.

AETIOLOGY

This is an injury occurring from an excessive eccentric contraction or direct impact to the elbow, often affecting players in contact sports. Occasionally an avulsion fracture may […]

Symphysitis

SYMPTOMS

There is gradual onset of diffuse or localised exercise-induced pain in both the groin and around the symphysis. The symptoms are often vague and secondary muscular symptoms are very common, misleading the examiner.

AETIOLOGY

This condition is thought to be a stress reaction from excessive jumping or running exercises but the exact […]

Stress Fracture of the Femur Neck

SYMPTOMS

Gradual or acute onset of diffuse or localised exercise-induced pain in the groin.

AETIOLOGY

Stress reaction from excessive jumping or running exercises. Stress fractures in the femur neck are not as typical in osteoporotic or osteopenic patients as pelvic fractures. The location and type of fracture is important for the outcome: tension-side […]

Rupture of the Rectus Femoris Muscle

SYMPTOMS

There is an acute onset of sharp tearing pain in the proximal anterior thigh or towards the anterior iliac crest during activity. This injury often occurs during intense activity in sports like tennis, squash or other sprinting and jumping sports.

AETIOLOGY

This is usually a partial rupture of the insertion or proximal […]

Adductor Tendonitis / Tendinosis

SYMPTOMS

Gradual onset of diffuse or localised exercise-induced pain at the insertion of the adductor longus around the symphysis. It can be associated with a slip, strain or split on a slippery football pitch. It is common in footballers, who usually complain of an inability to strike the ball with full power.

AETIOLOGY

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Rupture of the Quadriceps or Hamstring Muscles

SYMPTOMS

Sudden sharp pain most commonly affecting the quadriceps or hamstring muscles during activity. Often the athlete falls in the middle of a stride and cannot continue.

AETIOLOGY

The tear can be partial (Grade I-II) or complete (Grade III-IV), often close to a musculo tendinous junction and occasionally at the origins. The muscle […]

Osteochondritis Dissecans (OCD)

SYMPTOMS

There is gradual onset of diffuse or localised exercise-induced pain and soreness, often also at rest, usually in a young athlete without preceding trauma.

AETIOLOGY

The aetiology is unknown but is often thought to be due to repetitive minor trauma. The sub-chondral bone goes into avascular necrosis and the overlying cartilage cracks. […]

Osgood-Schlatter’s Disease

SYMPTOMS

There is gradual onset of localised exercise-induced pain and soreness at rest around the tuberositas tibia of the knee in a young growing athlete, usually 12 to 16 years old, without preceding trauma. It may be bilateral or affect the knees separately, depending on the growth of each leg.

AETIOLOGY

The condition […]

Iliotibial Band Friction Syndrome

SYMPTOMS

Gradual onset of diffuse or localised exercise-induced pain at the lateral aspect of the knee without preceding trauma. It is most common in long-distance runners and is often labelled ‘runner’s knee’.

AETIOLOGY

This is a stress reaction; periostitis often combined with bursitis at the insertion of the iliotibial tract at the distal lateral femur […]

Gout: Arthropathies

SYMPTOMS

There is a gradual or acute dramatic onset of effusion and often severe pain in the knee, without preceding trauma. This condition can affect virtually any joint but is common in the knee.

AETIOLOGY

This is one of many types of arthropathies that can affect the joints and is often mistaken for an orthopaedic […]