Intended for healthcare professionals



BMJ 2006; 333 doi: (Published 10 August 2006) Cite this as: BMJ 2006;333:360

The old ways are often the best. Comparison of a simple home exercise programme with surgical treatment for “jumper's knee” (patellar tendinopathy) found that surgery provided no benefit in terms of continuing symptoms up to one year later. The authors suggest that eccentric strength training should be tried for at least 12 weeks before considering a tenotomy (Journal of Bone and Joint Surgery 2006;88-A; 1689-98).

Why do some people attend accident and emergency departments but disappear before being seen? A large Canadian study reports that impatience during peak periods is the most common reason given, but that more than half of the 4.5% who leave sought medical care within a week (Academic Emergency Medicine 2006;13: 848-52. Thirty nine per cent of patients who didn't seek help elsewhere had been triaged on entering the department as “urgent.” Complications were rare among those who don't wait, although a small subgroup of “high risk” patients do end up in trouble.

Teenage fans of television wrestling are more likely to engage in “date fighting” (violence between people in a sexual relationship) and general fighting and to carry weapons, although the association is stronger for girls than boys (Pediatrics 2006;118:265-72). Students who reported date fighting were …

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