chronic

Epidemiology

Middle age men

Steroids / Growth Hormone

Aetiology

Usually occurs in gym

Bench Press

Clinical

Significant bruising in the acute phase

In chronic setting, ask patient to adduct against hip / resistance

Definition

Paronychia is skin around nail plate

Eponychia is skin covering base of nail plate

Pathology

1.  Due to foreign material between nail plate and paronychium 

2.  By hang nail traumatising paronychium

Aetiology

Acute

- typically polymicrobial 

- aerobes and anaerobes

Definition

Increased pressure within a closed fibro-osseous space

Aetiology

Seen in athletes, associated with repetitive exertion

Anatomy

Leg

1.  Anterior compartment

- anterior tibial artery

- deep peroneal nerve

Issues

Limb alignment

Risk that late posterolateral corner reconstruction will fail in the setting of the varus knee

- varus knee alignment and varus thrust in stance phase

- consider osteotomy first in this setting

Results

Posterolateral Corner Reconstruction

Moulton et al. Am J Sports Med 2016

- systematic review of PCL reconstruction for chronic injuries

- 450 patients

Definition

Heterogeneous group of diseases characterised by

- hyperuricaemia

- recurrent attacks of acute arthritis

Diagnosis confirmed by

- crystals of Monosodium Urate in synovial fluid

- tophi ("Porous stone") urate in soft tissues

- renal urate stones

Epidemiology

Adult men

Definition

Chronic instability due to rupture of one or more parts of the lateral ligament

Anatomy

Progressive injury

1. Anterolateral capsule

2. ATFL

3. CFL

NHx

Can lead to ankle OA over time