Rahij Anwar

Anterior dislocation of the tibio–talar joint without diastasis or fracture—A case report

We present a 27-year-old man with pure anterior dislocation of the ankle joint following a fall from height. There were no accompanying fractures in and around the ankle joint. The injury was initially missed on clinical examination in view of minimal ankle deformity. The patient was managed conservatively with closed reduction and plaster immobilisation. The case report highlights the importance of early diagnosis and management of anterior ankle dislocation to obtain good functional outcome. A review of the literature on this rare injury is also presented.

Preoperative methicillin-resistant Staphylococcus aureus (MRSA) screening: An effective method to control MRSA infections on elective orthopaedics wards

Background:  Methicillin‐resistant Staphylococcus aureus (MRSA) infections continue to increase in UK hospitals despite the introduction of various control measures. These infections have serious clinical and economic implications, particularly in relation to elective orthopaedic surgery.

Multi-centre audit of assessing appropriateness of primary care referrals for MRI knee in elderly (over 60 years)

BACKGROUND MRI of knee is the choice of investigation for knee painI in cases of suspected menisceal or ligamentous injury. However, in primary care setting and in absence of trauma, degenerative disease is the primary cause (78-80%) in elderly patient s (>60yrs)II. A thorough pati ent history and physical examination, combined with plain radiograph (XR) can avoid unnecessary MR scansIII, IV. We performed a retrospective audit to evaluate the appropriateness of MR knee referral s in elderly patients (>60yrs) from GPs in a Di strict General Hospital2 (Boston), a University Teaching Hospital1 (LRI) and a Specialist Musculoskeletal Hospital3 (ROH).