Peer Reviewed
Feature Article Orthopaedics
Avoiding commonly missed orthopaedic problems
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Abstract
Musculoskeletal injuries may result in chronic and disabling conditions if not diagnosed early and managed appropriately. Armed with an accurate history and a detailed examination, the family clinician can avoid the commonly missed diagnoses.
Key Points
- Suspect a talar dome lesion in a sprain that fails to improve as expected.
- Hand and wrist injuries are commonly overlooked because they are not totally disabling. The scaphoid is the most frequently fractured carpal bone.
- A delay in diagnosis of an ulnar collateral ligament injury leads to less satisfactory results than early surgical repair. Persistent painful thumb instability can result and compromise grip.
- Think of the hip in an adolescent presenting with knee pain. A missed slipped upper femoral epiphysis can have potentially disastrous consequences.
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