Dr R mitchell

@northwoods1980 Thank you that’s a great response. Is there anything from a bone density perspective? Often with young athletes females we worry about RED-S.

I do think these pts w a low-grade acetabular dysplasia would be at an elevated risk due to some element of instability. Others could probably speak more to this. I'm not specifically aware of prospective studies correlating these specific injuries to bone morphology but would not surprise me. I'm sure other Risk factors such as neuromuscular training or lack of, would also predisposed similar to ACL preventive programs. Again, moving away from my specific area of expertise however. Hopefully others can share insights. I found this case interesting and scary. It would've been common for this injury to have been missed and patient placed back into sporting activities.

Interesting case. Relatively minor trauma stopping at first base. Young female. Acetabular rim fracture with a minor femoral head impaction injury. With low-grade acetabular dysplasia possibly predisposing.

@MrArijitGhosh Many congratulations Arijit!

Proud to be part of this milestone! Honoured to be the first surgeon at Spire Leicester to perform a total knee replacement using the advanced VELYS™ Robotic-Assisted Solution with the ATTUNE™ Knee System.

Consent ✅ Guess what Male, 50s - Marathon training, increased mileage & speed work L groin & thigh pain, limping, night pain Treated as hip flexor tightness by physio +ive Hop test, +ive FADIR test Weakness & pain on iliopsoas testing MRI - high grade medial femoral neck of femur stress fracture - involving the iliopsoas tendon insertion at the lesser trochanter Diagnose these as the hip flexor at your peril ENDURANCE RUNNERS WITH A RAMP IN TRAINING DON'T GET HIP FLEXOR PROBLEMS THEY GET STRESS FRACTURES 😡😡😡

Great summary on one of the Most difficult conditions to deal with in primary care. Well done @CorKinetic

@hjluks Tendon love loading ! They hate pocking, massaging and have passive treatments ! Load them and load them ! Little reminder 🙏🏻

Many think osteoarthritis (OA) is a 'wear and tear' problem. While the instigator may be traumatic (think ACL injury), framing it as wear-and-tear can cause patients to think exercise will make things worse. So understanding why cartilage loves load is important...🧵👇 1/7

Fascinating paper. It seems not all plaques are created as equal

Important infographic on management of OA. Focus on exercise and weight management as front line treatment. Pharmacology has moved away from opiate based meds to short term nsaid use. #msk @NHS_LLR @llrpcl

Brilliant teaching session from Mr Basu this evening from @Leic_hospital for me on spinal pathologies for GPs. A lot to take away from the session to improve patient care as well as fostering good cross-relations from primary and secondary care @llrpcl spinesurgery #msk

New BOAST guideline on management of first time lateral patellar dislocation 👀 boa.ac.uk/static/4d58522…

@DrMarwanAl_D Just saw this….. why?!!!

@northwoods1980 This is my favourite report I’ve seen today. Totally love this! 🤣🤣

Massive away win for the little fella.

@RossHemingway @FSEM_UK @WorldExtremeMed @BASICS_HQ @RCollEM @FSEM_IRL @rcgp @theAIS @DMS_MilMed Mate many many congratulations. This will shape how this condition is managed from now on.

🚀⚡️It’s published ⚡️🚀 Pre- Hospital Management of Exertional Heat Illness 17 recommendations on the definition, assessment, management (including infographics) and preparation of EHI. @FSEM_UK @WorldExtremeMed @BASICS_HQ @RCollEM @FSEM_IRL @rcgp @theAIS @DMS_MilMed @RCPhysicians @RSTMH @RSM_SEM

One of the most inspirational men in the world. Turned a tragedy into hope and selflessness for others. A giant of the game of rugby happy birthday @Hambofoundation

@bellkneesurgeon @BillingMartin That’s good to know. Like you I find myself discussing cardiometabolic health with OA knee patients more and more. The small sample size of my patient list suggests those that fix that don’t need or want surgery. It’s a brilliant field of research at the minute

@RM15171 @BillingMartin Given the, at times, sizable impact on symptoms from modest weight loss I am framing the gains as being a turnaround of their metabolism that happens to also cause them to lose some weight.

I now spend more time with OA knee patients talking about metabolic health than painkillers.

@DrJN_SportsMed Had this myself with a c6/7 compression. That pain was worse than the limb pain

I see this periscapula pattern so commonly in clinic, often correlating with MRI pathology Problem is patients localise it to the TSp level, and dont understand why you are scanning the CSp.....

Brilliant to hear @Scienceofsport speak today at @basem_uk conference in Coventry #basemconference2024