Orthopaedics & Trauma Pathways
22 pathways
Work through 22 interactive orthopaedics & trauma decision pathways — branching, guideline-grounded workflows that take you from presentation to assessment, risk stratification and management. Each pathway cites its source (NICE, ESC, AHA and specialty guidance), embeds the relevant calculators, and makes escalation and safety-netting explicit. For decision support only — apply clinical judgement and local protocols.
- Hip Fracture ManagementNOF fracture classification, surgical timing, and perioperative managementNICE CG124 / BOA 2020
- Distal Radius FractureAssessment and management of distal radius fractures — acceptable alignment, casting vs surgical fixationBOA / NICE
- Ankle Fracture ManagementWeber classification, Ottawa rules, and surgical vs conservative managementBOA / Lauge-Hansen classification
- Metastatic Spinal Cord CompressionEmergency MSCC pathway — diagnosis, dexamethasone, and urgent surgical/radiation decisionNICE CG75 2020
- Open Fracture ManagementGustilo-Anderson classification, antibiotics, and timing of definitive treatment for open fracturesBOA/BAPRAS 2017
- OrthoPath: Upper Limb ED TriageED triage pathways for upper limb injuries — Clavicle, Shoulder, Humerus, Elbow, Wrist, Forearm, Hand and Fingers. Adapted for Irish & UK EDs.OrthoPath ED Tool — ReviseMRCEM.com
- OrthoPath: Lower Limb ED TriageED triage pathways for lower limb injuries — Pelvis, Hip, Femur, Knee, Tibia, Fibula, Ankle and Foot. Adapted for Irish & UK EDs.OrthoPath ED Tool — ReviseMRCEM.com
- OrthoPath: Spine ED TriageED triage pathways for spinal injuries — C-spine, T-spine, L-spine, whiplash, non-traumatic back pain, and cauda equina syndrome. Adapted for Irish & UK EDs.OrthoPath ED Tool — ReviseMRCEM.com
- OrthoPath: Fragility Fractures ED TriageED triage for elderly / fragility fractures — surgical vs non-surgical pathways with orthogeriatric co-management. Adapted for Irish & UK EDs.OrthoPath ED Tool — ReviseMRCEM.com
- Cauda Equina SyndromeCauda Equina Syndrome clinical pathway.Society of British Neurological Surgeons; BOA — Best Practice
- Knee Soft Tissue Injury (ACL / MCL / Meniscus)History + examination, MRI, conservative + surgical for ACL / meniscal repair.BOA; Royal College of Surgeons
- Shoulder DislocationAnterior most common; recognise vascular / nerve injury; reduction techniques; investigate Bankart / Hill-Sachs.BOA; RCEM
- Scaphoid FractureFOOSH mechanism; high suspicion = empirical immobilisation; MRI for occult fracture; AVN risk in waist + proximal pole.BOA; BSSH
- Pelvic FractureHigh-energy mechanism; Young-Burgess classification; pelvic binder + transfusion + IR / surgery; FAST + CT.BOA; ATLS; NICE NG39
- Achilles Tendon RuptureSudden 'kick' sensation, palpable gap, positive Simmonds-Thompson — conservative (functional brace) vs surgical (athlete).BOA
- Lumbar Disc / SciaticaRecognise red flags (cauda equina), conservative + analgesia + physio, MRI for refractory, surgery for severe.NICE NG59
- Frozen Shoulder (Adhesive Capsulitis)Three phases (freezing / frozen / thawing); diagnosis clinical; physiotherapy + analgesia; intra-articular steroid; surgery for refractory.BOA; BESS
- Carpal Tunnel SyndromeMedian nerve compression at wrist; nocturnal symptoms + Phalen / Tinel; nerve conduction; splint + steroid → surgery.BOA; BSSH
- Osteoarthritis Hip / Knee ManagementNICE NG226 — diagnose clinically, education + exercise + weight, analgesia stepwise, joint replacement for severe.NICE NG226 (2022)
- Greater Trochanteric Pain SyndromeLateral hip pain — gluteal tendinopathy / bursitis — exclude differentials, conservative + physiotherapy + injection.BOA
- Plantar FasciitisHeel pain worst on first steps; conservative (stretches, orthotics, NSAID); refractory cases steroid / shockwave / surgery.BOA; AAOS
- Tennis / Golfer's ElbowLateral / medial epicondylitis — overuse tendinopathy; conservative + physiotherapy; refractory cases shockwave / steroid / PRP.BOA