How to use the site

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How to use the site



This site is aimed at junior doctors (specifically senior house officers or SHOs) covering orthopaedics in the UK. This is one of the few jobs in UK medicine, where a relatively junior doctor with little experience and/or interest in the specialty could be left alone to deal with acute admissions. This website aims to provide some guidance and support to make that experience less stressful and to help you provide better care for your patients.

Whilst this site aims to provide information and guidance regarding orthopaedic patients, the overarching message from us is that, if you are concerned, you should seek senior help fast.

How to use the site

The main menu contains several large themes (e.g. upper limb, lower limb), within each of which may be found individual pages on specific topics (e.g. hip fracture). Depending on the topic, each individual page may be laid out slightly differently, but there will always be a section entitled “admission, discharge and calling a senior”. This aims to guide you on when you should seek urgent senior help.

As well as providing basic information, each page will often have a section with some higher level knowledge and further reading, which is aimed at those with an interest in orthopaedics, and those preparing for the CT1 and ST3 interviews.

Disclaimers & declarations

The authors

The authors are all specialty trainees or higher in T&O in the United Kingdom. At the bottom of each page are the author/editor details, and further information can be found here.

Evidence base and review

Guidance and information provided on this website is, unless otherwise stated, the opinion of the authors. It is the type of information we wish we had available to us when we were SHOs. We will attempt to review all articles on a yearly basis and update them as guidelines and evidence improve.


OrthoSHO does not receive any external funding, sponsorship or advertising revenue


The authors and editors will comply with both the letter and the spirit of UK copyright law at all times. Where images, diagrams, information or concepts have been taken from other sources, including national guidelines, published research, or other websites, we will acknowledge this in the page, and link directly to the source where possible. If you feel that we have infringed your rights to your work, please contact us at [email protected] and we will do everything possible to resolve the issue. We are deeply thankful to all providers of orthopaedic knowledge and training.

Unless otherwise stated, the content of this website is the intellectual property of the author(s) and of If you would like to re-use it, please contact us at [email protected] and I’m sure we’ll be able to help.


OrthoSHO is not intended to replace formal medical training, teaching or supervision. It is the practitioner’s responsibility to determine appropriate management with reference to senior or specialist colleagues, legislation, up-to-date guidelines, product literature and safety information. Prescriptions and drug calculations should be checked with an authoritative source such as Medicines Complete, the British National Formulary or your hospital formulary.

We check all our web content carefully. However, the website editors and authors do not accept any liability for any errors on this website or misuse/misapplication of its material. The website editors and authors are not responsible for the content of external sites.

Finally, please use your common sense. If in doubt, call your supervising senior. From my personal point of view, I would much rather be called about something unnecessarily, than not be called about something that I could help with!