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Emerg Med J 2003;20:500 doi:10.1136/emj.20.6.500
  • Editorial

Musculoskeletal medicine/sports medicine

  1. D MacAuley
  1. Department of Epidemiology and Public Health, The Queen’s University of Belfast, Belfast BT9 5JS, UK; domhnall.macauley@ntlworld.com

      Bumps, bruises, and a research agenda

      Saturday afternoon, five o clock, and its football time in the casualty waiting room. A colourful zoo of mud splattered jerseys, with makeshift splints, slings, and sodden ice packs. In a world of trauma and triage, musculoskeletal injuries take their place at the back of the queue. Weekend warriors limping home with this month’s NSAID and a double Tubigrip. And not just Saturday, for everyday brings sporting casualties with their predominantly soft tissue injuries. Hidden behind the drama of A&E is an army of patients with non-life threatening but lifestyle threatening injuries. How do we treat them and is it evidence based?

      Ask anyone and they will trot out the usual recipe of RICE meaning rest, ice, compression, and elevation. A mantra for musculoskeletal injury. Delve a little deeper and …

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