• Ruairi Keavy, Robbie Horton, and Oday Al-Dadah.
• Department of Trauma and Orthopaedics, South Tyneside District Hospital, Harton Lane, South Shields NE34 0PL, United Kingdom.
• Fam Pract. 2023 Feb 9; 40 (1): 687468-74.

BackgroundIt is estimated that 18.8 million people in the United Kingdom are living with a musculoskeletal (MSK) condition. It is a major cause of morbidity and a significant reason for presentation to primary care.AimTo determine the prevalence of MSK conditions presenting for consultation in general practice (GP), and how they are managed.Design And SettingEpidemiological study.MethodPatient episode consultations were reviewed at an urban community general practice. This involved evaluating morning consultations over a 1-week period from each of January, April, July, and October 2018. This included all the morning consultations from all GPs present. The number of MSK consultations was recorded, and within that the different presentations and their management plan.ResultsA total of 545 consultations were reviewed, of which 115 were related to an MSK presentation: an overall prevalence of 21.1%. The commonest MSK presentations related to the lumbosacral spine (18.3%) and the knee joint (17.4%). Re-presentations of an existing condition accounted for 73.9% of all MSK consultations. Steroid injections were administered in 33% of knee related consultations.ConclusionMSK presentations account for a large proportion of GP workload, but there is currently no mandatory training in orthopedics as part of the GP curriculum. Structured MSK education for GPs is important and may reduce the burden of re-presentations. Competency in joint injection is also an important skill for GPs.© The Author(s) 2022. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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