Dr. Kevin Yip

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

Featured on Channel NewsAsia

Lordosis Treatment in Singapore

Lordosis

Lordosis

Lordosis is an increased curving of the spine.

Considerations

The spine has three types of curves:

Kyphotic curves refer to the outward curve of the thoracic spine (at the level of the ribs). Lordotic curves refer to the inward curve of the lumbar spine (just above the buttocks). Scoliotic curving is a sideways […]

Spinal Decompression Surgery & Slip Disc

Spinal Decompression Surgery in Singapore

Spinal Decompression Surgery in Singapore

Microdiscectomy Spine Surgery?

In a microdiscectomy or microdecompression spine surgery, a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed to relieve neural impingement and provide more room for the nerve to heal.

A microdiscectomy is typically performed for […]

Back Pain

Back Pain

Please do not hesitate to contact us for further information you may require at (+65) 9724 1219

Spine – Cervical Problems Anterior Cervical Discectomy and Fusion Cervical Burners and Stingers (Brachial Plexus Injuries) Cervical Corpectomy and Strut Graft Cervical Discectomy Cervical Foraminotomy Cervical Laminectomy Cervical Radiculopathy Cervical Spinal Stenosis Cervical Spine Anatomy Dropped Head […]

Management-Operative Management

For axillary nerve injury resulting from penetrating trauma or iatrogenic causes, management is immediate repair. When axillary nerve injury results from causes other than penetrating trauma or surgery (i.e., those with closed trauma), surgery is indicated for symptomatic patients with no clinical or EMG/NCV evidence of recovery 3 to 6 months following injury.

The best […]

Management-Nonoperative Management

Nonoperative management of an axillary nerve injury includes reassurance, activity modification, symptomatic management, and physical therapy. As the nerve recovers, active, passive-, and active-assisted range of shoulder motion should be performed to maintain motion, and electrical stimulation and strengthening exercises may help to reduce atrophy of the deltoid.

The athlete should be reassured of nerve […]

Evaluation-Imaging

Several tests may be necessary to rule out other causes of shoulder pain, because isolated axillary nerve injury and quadrilateral space syndrome are rare. Plain radiographs typically are ordered, but these are useful in these cases only with a history of trauma that is consistent with a possible proximal humerus fracture, scapular neck fracture, or […]

Evaluation-Physical Examination

The physical examination of athletes with axillary nerve injury should include evaluation for range of motion (passive and active) as well as strength (abduction, forward elevation, external rotation, and internal rotation). Patients with a chronic history of the problem may demonstrate atrophy or asymmetry of the deltoid muscle mass.

A neurovascular examination should be performed […]

Biomechanics

The most common mechanism of injury to the axillary nerve is closed trauma involving a traction injury to the shoulder,such as stretching of the nerve over the humeral head during an anterior shoulder dislocation. The incidence of axillary nerve injury has been reported to be between 19% and 55% following an anterior shoulder dislocation and […]

Anatomy

The main function of the axillary nerve is to provide the motor supply to the deltoid. The axillary nerve originates from the spinal cord at the C5 and C6 levels, with occasional contribution from the C4 level. The nerve travels below the coracoid process, then obliquely along the anterior surface of the subscapularis.

Approximately 3 […]

Axillary Nerve Injury

Axillary nerve injuries generally are uncommon in sports and have been estimated to represent less than 1% of all nerve injuries. Most of the problems are associated with a trauma, such as an anterior shoulder dislocation or a combined brachial plexus injury.

Postoperative complications also have been reported. Another uncommon syndrome involves compression of the […]