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Orthopaedic trauma

Yes, a fracture is the same thing as a broken bone, however, each and every fracture is as unique as the patient who sustains it. While many of the fractures and other injuries sustained by younger patients are managed as sports injuries, traumatic injuries in the very young and the very old require specific experience Read on … !

Injuries and Accidents

We specialise in treatment of trauma of the lower limb (including hip, knee and foot trauma) as well as trauma of the pelvis and upper limb (including hand, elbow and shoulder trauma).

Trauma orthopedics does not only involve treatment of broken bones (fractures) and the old comical image of the patient with all four limbs 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 … !

Sport injuries

We pride ourselves on the fact that we are able to manage all comers with sport injuries according to their specific requirements and according to international standard-of-care treatment guidelines, in order to bring them back to their previous level of competition as soon as possible.

As a general rule, sports injuries tend to involve the 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 Read on … !

Muscle Injuries

Muscle injuries are a common occurrence in the form of localised bruising or a blood clot (haematoma) in the substance of the muscle. This may occur due to direct trauma such as after a rugby tackle. These types of muscle injuries usually heal well with conservative treatment.

Muscle tears are fortunately a less common problem, Read on … !

Hand Problems in Children

Children may be born with hand problems, defects or extra digits. These are best treated by super-specialized combined plastic surgical or orthopedic surgical congenital hand units such as the one at Red Cross Children’s Hospital.

Trigger fingers is one type of hand problem that can occur in children and are usually managed non-surgically until the 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 … !

Hand Clinic

The Constantia hand clinic was established more than 15 years ago. The hand clinic has been specifically set up in order to provide a comprehensive service to patients with acute and chronic hand conditions. This is done in conjunction with hand therapists.

 

The Cape joint surgery continues to provide a extensive elective hand service, 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 … !

Help and Guidance

Here you will find a series of articles containing information relating to common injuries, conditions and treatments.

Please click on the links below for specific articles or try the search function.

Everyone is different, so a personal consultation is always necessary before an accurate diagnosis can be made.

Hip Pain in Childhood

Hip pain in children / pathology may often presents with knee pain (referred pain) and every child that presents in such a way should have been examined and possibly imaged. Children are are notoriously unable to distinguish between specific locations of pain around the hip. Hip pathologies in children occurred at different times of their Read on … !

Finger Dislocation

Finger dislocation is one of the most underrated injuries in the hand mostly by rugby players that “just pull it back into position”. The injury is more serious and is associated with ligament damage and often bone damage that may require more treatment.

If Finger dislocation is left untreated the fingers tend to become Read on … !

Joint Care Trust

The Joint Care Trust is a not-for-profit organisation which has been created by Dr Engela and Dr Martin.

 

Given the current state of health care in South Africa, it is obvious that there are significant discrepancies between private health-care and public health care. One of the major problems with public sector orthopaedic surgical management Read on … !

Elbow Injuries in Children

Elbow injuries in children are extremely complicated orthopaedic problems to deal with and the diagnosis requires extensive experience as well as insight into the x-ray findings at various stages of a child’s elbow growth. In children, the injured elbow is often too painful and swollen to examine and the diagnosis rests with special investigations. Fractures Read on … !

Thumb Arthritis

Thumb Arthritis or Arthritis of the base of the thumb (carpo-metacarpal arthritis or CMC OA) is the most common site in the hand to be affected and has a good outcome after surgery should conservative treatment with splinting and cortisone injections not be successful.

All other joints of the wrist and hand can be involved Read on … !

Tumours

Hip pain may be caused by tumours, which may be either benign or malignant.

Benign tumours such as osteochondromas may cause pain secondary to compression of- or erosion into adjacent soft tissue structures and/or mechanical impingement problems. Other benign tumours, such as osteoid osteomas may cause pain secondary to acute inflammation. Despite the tumour Read on … !

Subacute Osteitis

Subacute osteitis is a rare condition, which may occur around the hip in young children. This usually results after a bone infection has been partially treated with antibiotics, which were discontinued too early. The diagnosis may not have been made in this case is often when antibiotics were prescribed empirically for a child which was Read on … !

Avulsion Fractures

Avulsion fractures, or, pull off fractures as they are more commonly known, around the hip are fairly common in children and they may occur in a number of locations, including the ischial tuberosity (hamstrings), the anterior superior iliac spine (Sartorius) as well as the anterior inferior iliac spine (rectus femoris) and the lesser trochanter of Read on … !

Juvenile Idiopathic Arthritis

Juvenile idiopathic arthritis consists of a spectrum of inflammatory arthropathys which affects children (girls in the early teenage years more often than boys). The patients present with synovitis of various joints (usually a polyarthropathy (more than one joint involved), although initial presentation may be in the form of a monoarthropathy). The wrist-, knee-, and ankle Read on … !