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323 evidence-based topics referenced to UK guidance, and 9,100+ exam-style questions that teach as you answer. Written and reviewed by UK clinicians - for the clinic, the pitchside, and the exam.

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Everything you need in one place

Concise topic pages and SBA-style questions designed specifically for SEM physicians, GPs, physiotherapists and more.

Structured Topic Pages

Concise, evidence-based pages covering MSK and sports medicine conditions - from presentation to management, with red flags and references.

SBA Question Bank

Musculoskeletal SBA questions mirroring real exam formats. Get instant feedback with detailed explanations of why each answer is right or wrong.

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Topic Pages

Clear, structured clinical content

323 topics and growing, across MSK regions, SEM specialties and clinical foundations. Each topic is broken into structured sections covering everything from pathophysiology to rehabilitation and exam tips. Consistent format across every topic so you always know where to find what you need.

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Foot & Ankle

Achilles Tendinopathy

Overview

Prevalence, terminology, mid-portion vs insertional classification, and the tendon continuum model.

Anatomy & Pathophysiology

Tendon structure, the hypovascular watershed zone, and failed healing response in tendinopathy.

Clinical Presentation

Gradual onset pain, morning stiffness, the ‘warm-up’ phenomenon, and palpable fusiform thickening.

Investigations

Ultrasound findings, MRI indications, and when imaging changes clinical management.

Management

Load management, eccentric and heavy slow resistance training, shockwave therapy for refractory cases.

Rehabilitation

Progressive loading from isometrics to plyometrics. Return to sport typically takes 3–6 months.

Key Evidence

Alfredson protocol, NICE guidelines, and emerging evidence on PRP and high-volume injections.

Exam Tips

Mid-portion vs insertional differences, red flags for rupture, and Thompson test interpretation.

Foot & AnkleMedium

A 28-year-old semi-professional footballer presents with gradual onset posterior ankle pain, aggravated by push-off. What is the most likely diagnosis?

AInsertional Achilles Tendinopathy
✓Mid-portion Achilles Tendinopathy
CRetrocalcaneal Bursitis
DPlantaris Tendinopathy
EPosterior Ankle Impingement

Explanation

Mid-portion tendinopathy occurs in the hypovascular zone 2–6 cm above the insertion. Morning stiffness and fusiform thickening are hallmark features.

Progress by category

Foot & Ankle
85%
Knee
72%
Shoulder
60%

Question Bank

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SBA-style questions covering every MSK and SEM topic. Detailed explanations for every answer option, progress tracking by category, and the ability to filter by body region, speciality, or diploma pathway.

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