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Pelvic Trauma

Pelvic injuries, fractures and traumas can be divided into fractures of the acetabulum, stable / unstable fractures of the pelvic ring and avulsion fractures.

Acetabular (hip joint cup) fractures in children and adults result from high velocity trauma such as hip dislocations or motor vehicle accidents. Low velocity trauma such as a fall out of 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 … !

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 … !

Anterior Cruciate Ligament Reconstruction (ACL)

The anterior cruciate ligament is an intra-articular ligament which stabilises the knee joint. It is often torn during physical activity and and this may occur after a rugby tackle or a sidestep. Associated injuries are meniscal tears and bone bruising around the articular surfaces. While not all anterior cruciate ligament tears require surgical management, there 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 … !

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 … !

Hip Stress Fractures

Hip stress fractures ( fractures in the Pelvic and femoral areas) may occur secondary to relative bone weakness when bones are acutely placed under an excessive amount of stress such as when patients suddenly begin long-distance running or heavy gym workouts. The most common location for pelvic stress fractures is the junction of the ischium Read on … !

Hip Problems

The Cape Joint Surgery surgeons are both super-specialist fellowship trained hip surgeons with extensive experience in the diagnosis of hip arthritis, other adult hip problems as well as hip problems in children. We perform both elective- as well as injury-related hip surgery. The practice performs total hip replacement procedures in private as well as in Read on … !

Meniscal Injury

There are two C-shaped cartilage menisci present in the human knee. While, even 40 years ago, orthopaedic surgeons did not think twice about removing a torn meniscus completely, this procedure is now frowned upon, based on the fact that we now know that these structures fulfil an essential role in the knee. Their wedge shape Read on … !

Knee Ligament Injury (other than ACL)

With Knee Ligament Injury, the ACL is the most commonly injured single ligament in the knee and also by far and away the ligament which is most often reconstructed, other ligament such as the posterior cruciate ligament (PCL), the medial collateral- (MCL) and lateral collateral ligament (LCL) as well as the posterolateral corner of the Read on … !

Cartilage Regeneration Procedures

Localised, isolated cartilage defects and degeneration with thinning of the cartilage are the first steps in the development of generalised osteoarthritis.

Cartilage regeneration is a panacea in orthopaedics. Should this become consistently possible in patients with degenerative joint disease, cartilage regeneration in combination with realignment procedures around the knee joint would effectively obviate the need Read on … !

Patellofemoral Joint Problems

Patellofemoral joint problems of unfortunately one of the most difficult conditions in orthopaedics to manage effectively. This is in a large part due to the fact that the patellofemoral articulation (kneecap joint) is one of the most biomechanically disadvantaged joints in the body. Massive shear forces are imparted to the joint during activities of daily Read on … !

Knee extensor mechanism injury

Knee extensor mechanism injury around the knee are severe injuries, which require early treatment in order to prevent shortening of the extensor mechanism which will necessitate reconstructive procedures with less predictable results. Although the clinical diagnosis is fairly straightforward when looked for, it is surprising how often these injuries are initially missed. The reason for Read on … !

Locked Knee

A locked knee, or, Locking of the knee joint may occur when a loose fragment wedges itself between the joint surfaces. Loose fragments which may be found in the knee joint are loose cartilage fragments, cartilage fragments with attached bone (osteochondral fractures) and unstable meniscal tears.

An acutely locked knee is one of the indications Read on … !