Clinic Blogs
Fortius Clinic Logo

Fortius Clinic Blogs - Insights from the Experts

Ioan Tudur Jones - Great Toe Plantar Plate

Great Toe Plantar Plate Injury

Ioan Tudur Jones; May 2017

Plantar plate injury can be career-threatening for professional athletes. Early diagnosis is important to allow early identification of unstable injuries that benefit from surgical intervention and rehabilitation.
Read More...

Callum Clark  - Arthroereisis

Arthroereisis: what is it and how does it work?

Callum Clark; May 2017

Arthroereisis is gaining popularity in the UK. Find out what it is and what it can be used for in both the paediatric and adult populations.
Read More...

Jon Houghton - Marathon Injuries

Common Marathon Training Injuries

Jon Houghton; March 2017

Many people who decide that they want to run a marathon are not ‘designed’ to be runners. Poor training, biomechanical problems and poor conditioning are all likely to cause injury.
Read More...

Ioan Tudur Jones - Orthopaedic foot and ankle Surgeon

Marathon Injuries: Foot and Ankle

Ioan Tudur Jones; March 2017

Understand the role of the peroneus longus and the flexor hallucis longus in normal movement of the foot, and what happens when these structures do not work properly.
Read More...

Jonathon Hutt - Orthopaedic Hip Surgeon

Marathons: Injuries of the Hip

Jonathan Hutt; March 2017

The hip can be difficult to assess. This report describes the clinical evaluation of the hip and the role of imaging. Hip stress fractures and femoroacetabular impingement are also discussed.
Read More...

Simon Bridle - Orthopaedic Hip Surgeon

Modern approach to hip replacement

Simon Bridle; February 2017

The Fortius Joint Replacement Centre intends to provide high levels of patient satisfaction with hip replacement procedures by implementing an Enhanced Recovery programme.
Read More...

Con Papageorgiou - Analgesia

Modern approach to anaesthesia and analgesia for arthroplasty

Con Papageorgiou; February 2017

Good pain management is crucial for improving many aspects of arthroplasty, allowing faster recovery, earlier introduction of physiotherapy and reduced length of hospital stay; all of which improve patient satisfaction.
Read More...

David Houlihan-Burne - Orthopaedic Knee Surgeon

Fortius Arthroplasty Unit and modern approach to knee replacement

David Houlihan-Burne; February 2017

Following knee joint replacement surgery, typical patient expectations are met in only 60 % of patients. Find out how the new Fortius Joint Replacement Centre is aiming to improve this figure.
Read More...

Ski Shoulder Injuries

Ski Shoulder Injuries

Steven Corbett; November 2016

If you see patients with shoulder injuries from skiing accidents it is important to see or request an X-radiograph. This presentation describes the common shoulder injuries from skiing accidents and provides ‘warning words’ for what to look out for so that injuries requiring extra intervention are not missed.
Read More...

Ski Injuries

Ski Injuries

Justin Hughes; November 2016

Approximately 900,000 Britons will visit the ski slopes each year. Skiing and boarding are safe sports with comparatively low injury rates compared to other sports. This article describes the common injuries that do happen, as well as their acute management and when to refer.
Read More...

Ski Knee Injuries

Ski Knee Injuries

Jonathan Webb; November 2016

Everyone knows that skiing can be ‘hard on the knees’. Learn the rule of the ‘five Bs’ to discover why it is not necessarily the high-speed crashes that cause the problems. Find out what to look out for when people present with post-ski knee injuries and how best to manage them.
Read More...

microfracture in the knee

Microfracture in the Knee

Andrew Davies; October 2016

What is microfracture and how does it promote repair of knee chondral defects? What are the outcomes, what are the alternatives and what does the future hold for treatment of these lesions?
Read More...

David Houlihan-Burne - Orthopaedic Knee Surgeon

Osteotomies Around the Knee

David Houlihan-Burne; October 2016

This presentation covers lower limb biomechanics and tibial osteotomies, including indications, planning for surgery and outcomes. Outcomes are particularly important for the patients, as this an extremely good option for some individuals, but often a difficult operation to persuade them to have.
Read More...

Adil Ajuied - Orthopaedic Knee Surgeon

Chondral Damage in the Knee

Adil Ajuied; October 2016

Articular cartilage is a precious substance that once damaged has little propensity for healing. Learn about the structure and function of cartilage and how the personality of the lesion has to be placed into the context of the patient as a whole to inform treatment options.
Read More...

Sam church - Orthopaedic Knee Surgeon

Arthritis in the Shoulder

Andrew Richards; September 2016

Learn about arthritis in the shoulder – what causes it, how it presents, and what the up-to-date treatment options are.
Read More...

Sam church - Orthopaedic Knee Surgeon

Frozen Shoulder

Ali Narvani; September 2016

Frozen shoulder or adhesive capsulitis (AC) is a common and painful, but self-limiting condition. This article discusses the pathology and risk factors for AC, how it is diagnosed and discusses the current and potential new treatments to help recovery.
Read More...

Sam church - Orthopaedic Knee Surgeon

Prospects for Success with SLAP Tears in Elite Cricketers

Andrew Wallace; September 2016

Shoulder injuries in cricketers are increasing. This article discusses the role of the biceps in bowling, the different grades of SLAP tears as well as what can be done to repair them.
Read More...

Sam church - Orthopaedic Knee Surgeon

Common Conditions of the Wrist and When to Refer

Alice Bremner-Smith; July 2016

This presentation described typical symptoms of the conditions as well as treatments that can be initiated for early disease stages, and when to refer patients for further treatment.
Read More...

Sam church - Orthopaedic Knee Surgeon

Common Conditions of the Hand and When to Refer

David Hargreaves; July 2016

This presentation described typical symptoms of the conditions as well as treatments that can be initiated for early disease stages, and when to refer patients for further treatment.
Read More...

Sam church - Orthopaedic Knee Surgeon

Kinesio® Tape as a Treatment Modality for the Hand and Wrist

Raelene Marx; July 2016

This presentation was a taster session on therapeutic tape, the best-known brand being Kinesio® tape. The session covered some of the principles of the K-tape method and how it can be used on common injuries/conditions.
Read More...

Sam church - Orthopaedic Knee Surgeon

Poor Preparation Poor Performance

Pippa Bennett; August 2016

The end of the 2015/16 football season does not seem that long ago but we are already at the end of preseason training for the 16/17 season.Preparation needs to be individualised to an athlete’s needs, their age, conditioning and skill level, their robustness.
Read More...

Sam church - Orthopaedic Knee Surgeon

Arthritis in the elbow, wrist and hand

David Hargreaves; October 2014

Find out more about the different causes of arthritis at the elbow, wrist and hand, and how these conditions present in a patient. What are the conservative and surgical treatment options available for these complex joints?.
Read More...

Andrew Davies - Orthopaedic Knee Surgeon

Are you missing something?

Ioan Tudur-Jones; Jan 2015

The protection of a rigid boot means that injuries to the foot and ankle are fairly uncommon in skiing and snowboarding, and the simple fractures that do occur are generally well managed. But what about the ones we miss? Hear about two injuries that are often overlooked: talus bone fracture and syndesmosis injury.
Read More...

Jonathon Lavelle - Orthopaedic Knee Surgeon

The fragile athlete

Cathy Speed; March 2015

So what, or who is the fragile athlete? Spotting them requires a detailed history, physical screening and, importantly, psychological screening. Both psychological and physical resilience need to be encouraged for prevention and support.
Read More...

Jonathan Webb - Orthopaedic Knee Surgeon

Running and rehabilitation

Jonathan Rees; April 2015

Most running injuries are caused by repetitive force overload, occurring at the weakest point of the kinetic chain. Getting the rehab right depends on assessment of the intrinsic and extrinsic factors, and recovery may be helped by the reduced impact of a ‘barefoot’ running style.
Read More...

Andy Williams - Orthopaedic Knee Surgeon

Botox for the knees?

Sam Church; April 2015

Learn more about lateral patellar overload syndrome, and how to diagnose it. Treatment involves physiotherapy, focusing on the hip and gluteus medius strength, escalating to cortisone and then Botox injections, and finally surgery.
Read More...

Adil Ajuied - Orthopaedic Knee Surgeon

Shoulder hypermobility

Susan Alexander; May 2015
BSc MSc MB BS FRCS (Tr & Orth)

Is it traumatic, atraumatic or habitual? A thorough history and examination is crucal, observing posture, balance and laxity; movement; and muscle strength. Patients may need more than one type of therapy, so good communication between physio and consultant will yield best rehab results.
Read More...

Guy Bellier - Orthopaedic Knee Surgeon

Anyone for tennis?

Damian Fahy; June 2015

Back pain is quite common in amateur tennis players, with the most common types of pain being facetogenic, discogenic and pars issues/stress reactions. Examination is important, as is imaging, although beware, the results can be misleading. Prevention is through strength and conditioning.
Read More...

Giles Heilpern - Orthopaedic Knee Surgeon

Football and the ACL

Andy Williams; September 2015

We kick off with a look at the psychological pressures experienced by injured professional footballers, before discussing the types of ACL repair that are appropriate for different sports. We’ll look at why the patellar tendon graft is the preferred choice for footballers, as well as rehabilitation.
Read More...

David Houlihan-Burne - Orthopaedic Knee Surgeon

Understanding young adult hip disease

Marcus Bankes; March 2016

Young adult hip disease is characterised by injury to the acetabular labrum. Learn more about the types of femoroacetabular impingement that can occur and how femoral head shape differs with activity patterns, as well as management options.
Read More...

Simon Ball - Orthopaedic Knee Surgeon

Running into Lumbar spine problems

Jason Harvey; April 2016
MA FRCS (Tr & Orth)

Which patients might present with lumbar spine problems related to running, and what is the evidence concerning sport and spine degeneration? We take a closer look at patient assessment and condition management strategies.
Read More...