Articles and features 20/09/2019 Learning from cases: specialty focus - Orthopaedic Surgery Preview Article Learning from cases: specialty focus - Orthopaedic Surgery Time to read article: 8 mins () ★ Close Preview Orthopaedic surgery is a specialty dealing with a wide range of musculoskeletal conditions. Frequently performed procedures include joint replacements, arthroscopies and spinal surgery. Serious complications following surgery are rare, but medicolegal cases may arise due to the life-changing impact they can have on mobility and function. Read more Article contains Text Tagged in... Orthopaedics
Case report 17/09/2019 A problematic knee replacement Preview Article A problematic knee replacement Time to read article: 2 mins () ★ Close Preview A case study looking at post-surgery complications. It is important to acknowledge patient dissatisfaction and agree a plan for ongoing care. Read more Article contains Text Tagged in... Orthopaedics
Case report 18/07/2019 Back again with cauda equina syndrome Preview Article Back again with cauda equina syndrome Time to read article: 2 mins () ★ Close Preview When Mrs C, a keen golfer in her early forties, began to experience constant pain in her lower back, she consulted a GP at her local surgery. Dr P took a history of slow onset of pain with restricted mobility. He did not examine her, but prescribed an NSAID and advised Mrs C to return in two weeks if there was no improvement. Read more Article contains Text Tagged in... General practice Orthopaedics GP locum Diagnosis Managing clinical risk
Masterclasses Risk management masterclass for orthopaedic, spinal and neurosurgeons Preview Article Location: Various (Read more for further details) () ★ Close Preview Risk management masterclass for orthopaedic, spinal and neurosurgeons Enhance your expertise, reduce your risk Read more Article contains Text Tagged in... Neurology & Neurosurgery Orthopaedics
Case report 27/11/2018 Video: Caught by consent Preview Article Video: Caught by consent Time to read article: 6 mins () ★ Close Preview A private neurosurgeon faces questions on consent, following a lumbar microdiscectomy sciatica and back pain. Read more Article contains Video Tagged in... Orthopaedics Record keeping Casebook Casebook Scotland Consent
Event 28/08/2018 BOA Annual Conference Preview Article BOA Annual Conference () ★ Close Preview Join us at this year’s BOA Annual Congress. Read more Article contains Text Tagged in... Orthopaedics
Case report 14/11/2017 A limping child Preview Article A limping child Time to read article: 3 mins () ★ Close Preview Three-year-old Matthew was brought to the local A&E department by his mum, Mrs U. She told Dr M, the attending doctor, that Matthew had fallen from a chair three days ago and, although he seemed unharmed at the time, he was now refusing to walk. Read more Article contains Text Tagged in... Paediatrics Orthopaedics
Case report 26/10/2017 A complicated claim Preview Article A complicated claim Time to read article: 3 mins () ★ Close Preview Mr A, an orthopaedic surgeon, was approached by a claimant’s solicitors to provide an expert report on behalf of their client. Read more Article contains Text Tagged in... Orthopaedics Casebook Casebook Scotland Negligence
Case report 20/10/2017 Caught by consent Preview Article Caught by consent Time to read article: 2 mins () ★ Close Preview A private neurosurgeon faces questions on consent, following a lumbar microdiscectomy sciatica and back pain Read more Article contains Text Tagged in... Casebook Orthopaedics Consent Record keeping Casebook Scotland
Casebook 29/08/2017 Closing the loop: lessons from surgical cases Preview Article Closing the loop: lessons from surgical cases Time to read article: 8 mins () ★ Close Preview Dr Peter Mackenzie, Head of Membership Governance at MPS, looks at the reasons why claims in a range of surgical specialties are settled Read more Article contains Text Tagged in... Casebook Colorectal Surgery Orthopaedics Competence Neurology & Neurosurgery System Errors
Case report 05/05/2015 The swollen knee Preview Article The swollen knee Time to read article: 3 mins () ★ Close Preview Forty-four-year-old Ms M presented to her GP with pain and swelling of her right knee. She had experienced similar symptoms three years earlier whilst pregnant but had not undergone any investigations at the time Read more Article contains Text Tagged in... Casebook Scotland Orthopaedics Diagnosis Radiology Review Documentation Casebook
Case report 14/09/2014 Missing cauda equina Preview Article Missing cauda equina Time to read article: 3 mins () ★ Close Preview Ms E, a 29-year-old mother, had suffered with ongoing low back pain since the birth of her second child two years ago, which had failed to improve with physiotherapy. She was assessed in orthopaedic outpatients and diagnosed with an L5 disc prolapse and listed for microdiscectomy. Read more Article contains Text Tagged in... Orthopaedics Casebook GP locum Diagnosis Record keeping Managing clinical risk
Case report 20/01/2014 The twisted knee Preview Article The twisted knee Time to read article: 4 mins () ★ Close Preview Ms C, a 42-year-old risk manager, fell from her horse whilst out riding. At the time of the fall she felt her left knee twist, as her left foot had been caught in the stirrup. Read more Article contains Text Tagged in... Managing clinical risk General practice Casebook Treatment Planning Orthopaedics Investigations
Factsheet 01/10/2013 HSC complaints procedure – Hospital setting Preview Article HSC complaints procedure – Hospital setting Time to read article: 5 mins () ★ Close Preview Complaints in health and social care: standards and guidelines for resolution and learning (2009) aims to provide a simple, consistent approach for staff who handle complaints, and for patients who raise complaints across all health and social care services. Read more Article contains Text Tagged in... Respiratory Medicine Gastroenterology Orthopaedics Neurology & Neurosurgery Palliative Care Cardiology & Vascular Medicine
Case report 10/09/2013 Stumbling block Preview Article Stumbling block Time to read article: 3 mins () ★ Close Preview Mr G was a 52-year-old school headmaster. His lifelong enjoyment of sports was becoming more difficult due to increasing pain from his left knee, although there was no injury or trauma to account for it Read more Article contains Text Tagged in... Managing clinical risk Record keeping Casebook Consent GP locum Orthopaedics
Case report 01/09/2013 A weekend of back pain Preview Article A weekend of back pain Time to read article: 6 mins () ★ Close Preview Mrs P was a 42-year-old housewife who lived with her husband, daughter and their first grandchild. She had suffered with chronic lower back pain for many years, which was helped by regular paracetamol. Read more Article contains Text Tagged in... Successful Defence Orthopaedics Casebook Managing clinical risk General practice Record keeping
Case report 27/09/2012 Squash and a squeeze Preview Article Squash and a squeeze Time to read article: 2 mins () ★ Close Preview Forty-seven-year old shop assistant Mr U had noticed a persistent pain in his heel for several months, which deteriorated suddenly whilst playing his weekly game of squash. It took him two weeks before he attended his local Emergency Department, where he was x-rayed and diagnosed with a bony spur on his calcaneus. He was advised to rest and to follow-up with his own GP if it did not resolve. Read more Article contains Text Tagged in... Orthopaedics Record keeping Diagnosis Managing clinical risk
Case report 01/05/2011 Tomorrow is too late Preview Article Tomorrow is too late Time to read article: 2 mins () ★ Close Preview Six-year-old FM underwent a left Salter’s osteotomy to treat the developmental dysplasia of his hip. Mr R, consultant orthopaedic surgeon, performed the procedure. Prior to it, he discussed the risks and benefits of this operation with FM’s parents and recorded it all in the clinical notes. Read more Article contains Text Tagged in... Managing clinical risk Communicate Orthopaedics Treatment Planning Negligence
Case report 01/01/2011 To operate or not to operate? Preview Article To operate or not to operate? Time to read article: 2 mins () ★ Close Preview Read more Article contains Text Tagged in... Communicate Managing clinical risk Consent Record keeping Orthopaedics
Case report 01/05/2010 Unrealistic expectations Preview Article Unrealistic expectations Time to read article: 2 mins () ★ Close Preview Twenty-year-old Miss D was referred to orthopaedic consultant Mr A for assessment of an old clavicle fracture. Two years previously, Miss D had sustained a clavicle fracture after falling off her bike. This injury was treated in a different hospital in a conservative way, using a collar and cuff sling. In the early follow-up period, she moved to her current address and she was lost to further review. Read more Article contains Text Tagged in... Cosmetic Surgery Record keeping Successful Defence Consent Managing clinical risk Orthopaedics
Case report 01/05/2010 An unexpected, painful end Preview Article An unexpected, painful end Time to read article: 2 mins () ★ Close Preview Fifty-five-year-old lorry driver Mr Q was involved in a road traffic accident, sustaining severe injuries to both legs. He was taken to the local hospital where, following initial assessment and stabilisation by the emergency medicine team, he was referred to the orthopaedic department. Read more Article contains Text Tagged in... Managing clinical risk Orthopaedics Expert Reports Claims
Case report 01/09/2008 Can you handle it? Preview Article Can you handle it? Time to read article: 2 mins () ★ Close Preview Read more Article contains Text Tagged in... Orthopaedics Managing clinical risk Negligence Competence
Case report 01/09/2008 A zebra amongst the horses Preview Article A zebra amongst the horses Time to read article: 3 mins () ★ Close Preview Mr A, an office administrator in his 40s, was referred by an out-of-hours GP to the orthopaedic on-call team at the local district general hospital (DGH). Mr A had previously worked as a mechanic, but had been forced to change career because of a long-standing back problem, for which he had an L4/L5 microdiscectomy performed five years earlier. Read more Article contains Text Tagged in... Managing clinical risk Diagnosis Orthopaedics
Case report 01/01/2008 Too long to run Preview Article Too long to run Time to read article: 2 mins () ★ Close Preview Mr C, a 45-year-old PE teacher, attended the outpatient clinic to see Mr V, consultant orthopaedic surgeon. Mr C was also a keen marathon runner, but due to an increasingly painful right hip he had found running more difficult. X-rays confirmed advanced degenerative changes on his right hip joint. Read more Article contains Text Tagged in... Record keeping Orthopaedics Managing clinical risk Consent