Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

Featured on Channel NewsAsia

A Patient’s Guide to the Biceps Tendon

Biceps Tendon

Biceps Tendon

Key Points

The long head of the biceps (LHB) originates at and around the supraglenoid tubercle. Although it is intra-articular, it is extrasynovial. Although acute ruptures of the LHB do occur, LHB ruptures are more commonly the result of chronic biceps tendonitis. There is such a close association between subacromial impingement and […]

The Rotator Cuff

Rotator Cuff

Rotator Cuff

Key Points

The majority of symptomatic rotator cuff disease patients respond to a nonoperative program emphasizing the restoration of normal biomechanics, unrestricted motion, and functional force couples. Early surgical management should be considered for acute rotator cuff tears in physiologically young and very active individuals. The ability to recognize the complex layered […]

A Patient’s Guide to Osteonecrosis of the Humeral Head

Osteonecrosis Humeral Head

Osteonecrosis Humeral Head

Introduction

Osteonecrosis of the humeral head is a condition where a portion of the bone of the humeral head (the top of the humerus or upper arm bone) loses its blood supply, dies and collapses. Another term used for osteonecrosis is avascular necrosis. The term avascular means that a loss […]

A Patient’s Guide to Shoulder Arthroscopy

Shoulder Arthroscopy

Shoulder Arthroscopy

Introduction

The use of arthroscopy (arthro means joint and scopy means look) has revolutionized many different types of orthopedic surgery. During a shoulder arthroscopy, a small video camera attached to a fiber-optic lens is inserted into the shoulder joint to allow a surgeon to see without making a large incision. Today […]

Open Capsular Release for Adhesive Capsulitis

Open surgical release of the glenohumeral capsule was more commonly utilized to treat patients with severe and refractory adhesive capsulitis prior to the advancement of arthroscopic techniques to treat this difficult patient population. Although the peri-operative morbidity of this open approach to treatment is now accepted to be somewhat greater than its arthroscopic counterpart, use […]

Arthroscopic Capsular Release for Adhesive Capsulitis

Because adhesive capsulitis of the shoulder, by definition, is due only to a tight and thickened glenohumeral capsule, arthroscopic surgery seems ideal for the treatment of this problem. The capsule is best viewed, and more directly surgically addressed, by an intra-articular approach rather than an extra-articular, open surgical approach. Arthroscopy allows circumferential capsular release as […]

Operative Treatment for Adhesive Capsulitis

Manipulation Under Anesthesia

Manipulation under anesthesia (MUA) has been used to treat adhesive capsulitis for many years. This treatment has commonly been described to prospective patients as “stretching the tight capsule” or “breaking up adhesions” within the shoulder joint. Arthroscopic visualization of the glenohumeral joint after this procedure, however, reveals that a MUA does not […]

Nonsurgical Treatment for Adhesive Capsulitis

Nonoperative treatment commonly begins with measures to reduce shoulder pain and inflammation including topical treatments of heat, ice, transcutaneous electric stimulation, transcutaneous salves and balms, acupuncture, massage and systemic medications [nonsteriodal anti-inflammatory drug (NSAID) class medicines and oral corticosteroids]. The relative contribution to recovery that any of these treatment measures provide remains unclear and their […]

Approach to Treatment for Adhesive Capsulitis

A decision regarding whether and when to provide treatment for a medical condition is most often based on a complete understanding of the natural history of that disease. Unfortunately, the natural history of adhesive capsulitis is poorly understood. Although reports on this disease and its treatment have been numerous, clinical observations have varied widely with […]

Imaging Studies for Adhesive Capsulitis

The evaluation of a patient with adhesive capsulitis is not complete without an appropriate series of plain radiographs. True glenohumeral anterior-posterior views, along with axillary, scapular outlet and acromioclavicular views are considered necessary to exclude other shoulder girdle conditions which result in pain and stiffness. These films may often reveal osteopenia, but should not show […]