Radicular Pain

Radicular pain refers to referred pain from a nerve root entrapment in the back, this may be due to a herniated intervertebral disc as well as other mass lesions and/or forms of spinal instability. The pain is usually experienced over the buttock area with radiation into the lower leg and foot. The character of pain Read on … !

Hand Surgery

Both surgeons at the Cape Joint Surgery maintain a keen interest in hand surgery, a sub-speciality in orthopedics which overlaps with plastic surgery to some extent and requires meticulous technique and soft-tissue management. Dr Engela was involved with the Groote Schuur Hospital hand clinic for many years and was the driving force behind the establishment Read on … !

Knee surgery

The Cape Joint Surgery surgeons are both super-specialist fellowship trained knee surgeons with extensive experience in the diagnosis of adult knee problems as well as knee problems in children. We perform both elective- as well as trauma-related knee surgery. This includes the management of meniscal injuries as well as knee ligament injuries such as anterior cruciate Read on … !

Hand Problems in Adults

Non-traumatic hand problems in adults are extremely numerous and both diagnosis and management are challenging. Some of the most common conditions are discussed below. Even these fairly straightforward problems are unfortunately prone to misdiagnosis and injudicious surgery.

Ganglion Arthritis of the thumb and fingers Carpal tunnel syndrome Dupuytren’s contractures Trigger finger Tendonitis/ de Quervain’s

Nerve Read on … !

Knee problems in adults

Knee problems in adults often arise when the knee joint undergoes a degenerative process due to repetitive wear and tear as the patient ages. Young adults usually injure one- or more of the stabilizing ligaments such as the ACL or the collateral ligaments during traumatic events such as rugby tackles or other twisting injuries at the knee. Read on … !

Knee problems in children

With knee problems in children, it is imperative that back-and hip problems are excluded as the cause of referred pain to the knee. Various hip problems commonly cause knee problems and pain in children.

Septic arthritis/osteitis is a potentially devastating condition involving infection of the knee joint or the surrounding spongy bone. A healthy child, Read on … !

Hip Pain

Hip pain often presents a diagnostic problem to a referring doctor, for two reasons. Firstly, what the patient describes as “hip pain”, may involve pain in the groin, pain over the lateral thigh as well as pain in the buttock, sometimes radiating down the leg. Secondly, patients who present like this, may have problems which Read on … !

Hip Pain in Adults

Hip pain in adults must be differentiated into pain of the various regions around the groin and upper thigh. While age at presentation is extremely important with hip pain in children, painful adult hip conditions may occur throughout a wide age range, depending often on the predisposing factors.

 

Groin pain in adults:

Femoro-acetabular impingement

Read on … !