Consultant Shoulder, Elbow and Sports injuries surgeon
Nottingham and Northampton
Joined November 2012
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Malin Wijeratna retweeted
Orthopedic Truths.
Rotator cuff "tears" are common.
Many rotator cuff tears tears don’t hurt.
Don't assume it’s the cause of your pain.
But it might be the cause of your pain.
Many tears aren't even "tears."
The word tear implies trauma...
Many "tears" are due to poor tissue health, loss of mechanical load, and other factors.
Tears are not due to bone spurs.
Tears can be partial or full-thickness.
They can be small or large.
Many adults with no pain have the exact same changes you have on an MRI.
Some tears might grow larger over time.
Others won't.
Some tears will become painful over the next few years.
Some won't.
Some tears will cause weakness.
That weakness might be due to guarding/pain...
Or the weakness can be structural.
Tears might be old and chronic.
Some might be acute.
Which tears should we fix?
This isn't as clear as you might think.
Do all tears need to be fixed? No.
Should some be fixed? Yes.
Would I fix a painless partial or small full-thickness tear in my shoulder? No.
Are the repairs of certain tears worthwhile? Certainly.
Should all tears be treated surgically? No.
Should we remove bone spurs to avoid tears? No.
Confused? This decision-making isn't easy.
This is especially true if you provide for your family, need to work to put food on the table, and need your arm to work.
Bottom line… It’s a FAR more complicated topic than most people think.
Malin Wijeratna retweeted
The legendary broadcaster Steve Wright has died, aged 69. He told The One Show in 2010 how he approached presenting his Sunday Love Songs show on BBC Radio 2: “My job is to be, actually, a nice guy.”
Malin Wijeratna retweeted
1. Medicine is rapidly becoming an expensive hobby- working class people can no longer afford to become doctors given the poor salaries and huge debts on graduation.
I am the son of immigrants - I couldn't speak English until i was 5-i was born/ brought up in longsight, Manchester- in the top 3% of the most deprived areas in England.
Malin Wijeratna retweeted
It's #InnovationsFriday!
Learn more about the first-ever human application of the AO Fracture Monitor. Developed by ARI with the AO's innovation funding, this cutting-edge system is a testament to our 65-year legacy of improving patient outcomes.➡️ brnw.ch/21wF9jq
ALT Site initiation visit in Tübingen, Germany (left to right): Aleksandra Vidakovic, Benedikt Braun, and Manuela Ernst (ARI)
ALT Surgical team led by Benedikt Braun (third from right) after successful first-ever clinical application of the AO Fracture Monitor implant
ALT X-ray images of the first patient enrolled in the clinical investigation at the follow-up examination after eight weeks
ALT X-ray images of the first patient enrolled in the clinical investigation at the follow-up examination after eight weeks
Malin Wijeratna retweeted
A hugely important moment in the consultant pay campaign. To get from "no more talks on pay" to any offer worth putting to members is massive progress, thanks to the strike action @TheBMA members had to take to force the Government to the table.
What do I think of the offer...?
Malin Wijeratna retweeted
1/ NEW & IMPORTANT: OK on the eve of junior/consultant strikes, we need to talk about these charts (NEW data just in!) 👇
We need to look at them to fix waiting lists & its increasingly clear next GE will be won or lost on the NHS
Please read the whole 🧵 & share widely / RT
Malin Wijeratna retweeted
You cannot watch this video and not be heartbroken. We must create a system and culture where our most senior clinicians can speak up, be believed & action be taken. My heart goes out to Dr Jayaram - what an incredible human. I hope he has the support & recognition he deserves ❤️
Malin Wijeratna retweeted
7 days until the Ashes starts at Edgbaston.
There will still never be a better build up video than this though... if only @BumbleCricket was still commentating on Sky!
Bring it on!
#Ashes
Malin Wijeratna retweeted
Another interesting article from Leicester Shoulder Elbow unit. journal-cot.com/article/S097… @abdulgomaa @hpsinghjk1 @leicester_lorne @Leic_hospital @ElectiveLgh @leicesterortho
Thanks to @LockDownMedical I had the privilege of being able to teach Dutch surgeons in Rotterdam.. the Lockdown ACJ stabilisation implant has fantastic results and a proven track record! Whilst I was there I saw some interesting clocks too! – at Rotterdam, The Netherlands
If you see this tweet, quote tweet it with the most recent photo you took of your pet. No cheating.
This is Elbie enjoying the Easter weekend sun after fetching her beloved ball! ❤️
Malin Wijeratna retweeted
1/ As a Physio, How many times in clinic have you heard the phrase “…I hAvE a hIGh pAiN tHrEsHoLD”? How many times have you internally rolled your eyes. I have in the past. However I have come to realise that it’s wrong to do this. A short thread why:
Read the whole thread for more details..
And that's a wrap! It was great to teach surgeons from Germany, Spain, Netherlands and the UK over the past couple of days on an @Exactechinc course in Cologne! Imparting my knowledge and experience means that many more patients can benefit from excellent shoulder replacements!
Malin Wijeratna retweeted
Thank you @JulieMarieMeyer for highlighting the incredible opportunity being presented by @Hi55Ventures @davidsorbybrown and @MarketNr @LloydyRich
The @fte_summit brought together the world’s best entrepreneurs 🙏🏽
Let’s make Hi a household name 🤝
#Hi55Ventures
What a lovely gesture from @TAGHeuer! My watch wasn't going to be serviced in time for my birthday and so the Nottingham branch sent me a bottle of my favorite grape as a present instead! Thank you! 😊 – at West Bridgford, England
Malin Wijeratna retweeted
Hi is back with another #crowdfunding round!
Since our first raise in 2020 we've come on leaps and bounds, with huge new partnerships in place with @Mastercard, @EYnews and @msft4startups and fantastic support from #banks, #pension and #payroll providers.
platform.nrprivatemarket.com…
