News - Cape Joint Surgery

Arthritis

Understanding Arthritis: Causes, Symptoms, and Treatment Options Arthritis is a condition that affects millions of people worldwide, causing pain, stiffness, and swelling in the joints. It is not a single disease but rather a term used to describe a range of joint-related issues. At Cape Joint Surgery, we often treat…

Sandra In Adults, Children, Hips, Injuries and Accidents, Knees

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…

Sandra In Hips, Injuries and Accidents, Sports Injuries

Pelvic Injuries and 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…

Sandra In Adults, Children, Hands and Wrists, Hips, Injuries and Accidents, Knees, Sports Injuries

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…

Sandra In Arthritis, Hips

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…

Sandra In Adults, Arthritis, Children, Chronic Conditions, Elbow, Hands and Wrists, Injuries and Accidents, Sports Injuries

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…

Sandra In Adults, Children, Injuries and Accidents, Sports Injuries

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…

Sandra In Adults, Arthritis, Children, Chronic Conditions, Injuries and Accidents, Knees, Sports Injuries

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 ligament…

Sandra In Adults, Children, Injuries and Accidents, Sports Injuries

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…

Sandra In Adults, Arthritis, Hands and Wrists

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 Trigger Finger Carpal Tunnel Syndrome Ulnar Nerve Entrapment Arthritis of the thumb…

Sandra In Adults, Arthritis, Knees

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…

Sandra In Children, Hands and Wrists

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…

Sandra In Arthritis, Children, Knees, Sports Injuries

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.…

Sandra In Adults, Chronic Conditions, Knees

Total Knee Replacement

Total knee replacement is indicated in patients with knee arthritis that has not responded sufficiently to conservative treatment with anti-inflammatories and analgesics. Knee replacements are usually performed in older people when stiffness and / or pain significantly affect activities of daily living. Total knee replacement is a well established operation with good longterm…

Sandra In Adults, Children, Hands and Wrists

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…

Sandra In Adults, Chronic Conditions, Injuries and Accidents, Knees, Sports Injuries

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…

Sandra In Adults, Arthritis, Children, Chronic Conditions, Hips, Injuries and Accidents, Sports Injuries

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,…

Sandra In Adults, Chronic Conditions, Knees

Knee Arthroscopy (Keyhole Surgery)

Knee Arthroscopy (Keyhole Surgery) entails placement of a camera through a keyhole incision and performing one of several procedures through keyhole surgery. The advantages of arthroscopic surgery are to a large degree due to the fact that it is the most minimally invasive type of knee surgery possible. The camera…

Sandra In Adults, Arthritis, Chronic Conditions, Hips

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…

Sandra In Arthritis, Children, Hips, Injuries and Accidents, Sports Injuries

Hip Pain in Children

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…

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