June 2012, Volume 34, No. 2
Internet

What’s in the web for family physicians – multimedia musculo-skeletal resources

Alfred KY Tang 鄧權恩, Wilbert WB Wong 王維斌

HK Pract 2012;34:86-87

A Practical Guide to Clinical Medicine: Musculo- Skeletal Examination
http://meded.ucsd.edu/clinicalmed/joints.htm

This is a website dedicated to physical examination skills of the musculoskeletal system. Clinical examination of all important joints of the body are covered at the website, and teaching materials are all in multimedia format, well illustrated by photos and videos. More detailed descriptions of the shoulder, knee and low back examinations are included as these are the more commonly affected joints. Review of relevant anatomy, function and common disorders are also described for most of the major joints.

Clinical assessment of the musculoskeletal system
http://www.arthritisresearchuk.org/~/media/Files/Education/Student%20handbook%2011-1.ashx

This online handbook (2011 Edition), published by Arthritis UK, provides revision materials on regional examination of the musculoskeletal system, as well as screening and diagnosis of common musculoskeletal problems. It outlines the simple screening method, GALS, by which observing the gait, arms, legs and spine of a patient can give valuable clues to identification of potential neuromuscular disorders. Demonstrations of clinical examination techniques of spine, upper and lower limbs are also available in the handbook.

Procedural Skills Resources : Musculoskeletal
http://guides.lib.uiowa.edu/content.php?pid=5859&;sid=36912

This website is maintained by the University of Iowa Libraries. The webpage on Procedural Skill Resources has a collection of videos and weblinks which cover many common medical procedures. The section of musculosketal medicine has hyperlinks on clinical skills involved in the physical examination of different joints of the body, and there are tutorials and videos on arthrocentesis of the knee joint and well as intraarticular injections of the knee and shoulder joints. It is a useful site for family physicians looking for videos on physical examination skills as revision and also keeping themselves updated on medical procedures of musculoskeletal system.

Guidelines for pain relief
http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/cp104_3.pdf

This is a comprehensive guideline for acute pain management developed by Australian and New Zealand College of Anaesthetist, and the Faculty of Pain Medicine (3rd edition, 2010). The guideline includes the basic patho-physiology of acute pain, different types of pharmacological and non-pharmacological interventions for acute pain and various methods to deal with acute pain in different clinical situations. The document consists of 490 pages of evidence based materials. The section on Summary of Key Messages allow users to revisit the main points covered in the Guideline at a glimpse.

Muscle Energy Techniques (MET)
http://www.mc.uky.edu/Athletic_training/docs/ModalityProject_MuscleEnergy_Spring2010.pdf

Muscle Energy Technique (MET) is a kind of manipulative treatment that a family physician can easily practice in his own clinic. It is a stretching technique which facilitates relaxation of tight muscles, leading to rapid and effective reduction of pain. The article, with the help of video clips, provides a good introduction and working knowledge on MET, allowing beginners to get acquainted with the skillset very readily.

Taping Techniques.com
http://www.tapingtechniques.com/

Acute finger sprains, knee pain, foot and ankle sprain injuries are common conditions in general practice. Taping can be an easy yet effective way in dealing with these sports injuries. This website has a collection of videos showing different taping methods for ankle, foot, shoulder and back. There are also clinical photos which allow learners to pick up the technique more easily.

Ankle Taping and Bracing
http://emedicine.medscape.com/article / 86495 -overview#a15

Ankle injuries in sports are very commonly seen in our everyday practice. For patients prone to develop ankle injury, taping and bracing before sports engagement can be very useful. In this article, taping and bracing techniques of the ankle joint are introduced and outlined. The content is very useful to family physicians interested in sports medicine, especially when they are treating their patients or giving counselling to athletes.


Alfred KY Tang, MBBS (HK), MFM (Monash)

Wilbert WB Wong, MBChB (CUHK), FHKCFP
Family Physicians in Private Practice.

Correspondence to: Dr Alfred K Y Tang , Shop 3A, 2/F , Hsin Kuang Shopping Centre, Wong Tai Sin, Kowloon, Hong Kong SAR.

E-mail: alfredtang@hkam.org