Dr Iain Duncan
shoulder pain

Recommendations for Management of Rotator Cuff Tears

There are extensive recommendations from the American Academy of Orthopaedic Surgeons about Management of Rotator Cuff Injuries Clinical Practice Guidelines, Published in March 2019. Some strong and moderate recommendations are listed below. Weaker recommendations have not been listed. STRONG = Evidence from two or more “High” quality studies with consistent findings for recommending for or […]

Muscle Injury Classification

This is the muscle injury classification that I generally refer to with expected return to sporting activity:     GRADE DESCRIPTION RETURN TO SPORT 0 Oedema/fluid around tendon/epimysium <2 weeks 1 Myofibril disruption without epimysial or myofascial changes 1-4 weeks 2 plus epimysial/myofascial interuption or delamination 3-6 weeks 3 intramusculat tendon or epimysial failure/tear 6+ […]

Prostate carcinoma spread in pelvis and para-aortic lymph nodes

Tc-PSMA at Garran Medical Imaging

The scan results are close to the benchmarks defined by the world literature on Ga-PSMA PET scans. The results below indicate the accuracy and value of the test.

Shearwave elastography selection box

Liver SW Elastography 2019

Liver SW elastography has become increasingly available and more frequently performed over the last 5 years. We were one of the first and all GMI sonographers and I have gained significant experience performing and interpreting the test. Having a good relationship and getting valuable feedback from our local hepatologists has been very helpful. The test/scan […]

hip osteoarthritis

Prognostic Factors for Progression of Osteoarthritis of the Hip

C. H. Teirlinck; D. M. J. Dorleijn; P. K. Bos; J. B. M. Rijkels-Otters; S. M. A. Bierma-Zeinstra; P. A. J. Luijsterburg Arthritis Res Ther. 2019;21(192) [Open Access] Background: Predicting which patients with hip osteoarthritis are more likely to show disease progression is important for healthcare professionals. Therefore, the aim of this review was to assess which factors […]

INJECTION SHOULDER

PRP and Visco-supplementation for rotator-cuff tears

I am seeing a growing interest and noting more research in both PRP (platelet rich plasma) and hyaluronate/viscosupplementation therapies for the treatment of both arthritis and tendon pathologies. In many of the earlier studies  there was no control patients, but this has been improved in several recent studies. In particular I draw your attention to […]

Relative efficacy and safety of topical non-steroidal anti-inflammatory drugs for osteoarthritis: a systematic review and network meta-analysis of randomised controlled trials and observational studies

Chao Zeng, Jie Wei2, Monica S M Persson et al.View post Objectives To compare the efficacy and safety of topical non-steroidal anti-inflammatory drugs (NSAIDs), including salicylate, for the treatment of osteoarthritis (OA). Methods PubMed, Embase, Cochrane Library and Web of Science were searched from 1966 to January 2017. Randomised controlled trials (RCTs) comparing topical NSAIDs […]