Dr. Kevin Yip

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

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Cartilage Injury and Loose Bodies

SYMPTOMS

There is acute or gradual onset of exercise-induced pain around the elbow with recurrent locking or pseudo-locking or extension and flexion lag.

AETIOLOGY

This is a cartilage injury in the elbow joint, which can occur by repetitive stress or direct impact, causing mechanical blocking and synovitis.

CLINICAL FINDINGS

There is diffuse tenderness on palpation in the elbow joint.

INVESTIGATIONS

X-ray and MRI may be normal unless there is a loose or uneven bony component.

TREATMENT

Arthroscopic excision of the loose fragments.

REFERRALS

Refer to Dr Kevin Yip (+65 9724 1219) senior consultant orthopaedic surgeon if this diagnosis is suspected or if the diagnosis is not clear.

EXERCISE PRESCRIPTION

Many sports can be maintained. Running, cycling and swimming are good alternatives to keep up general fitness. Gym training can be maintained.

EVALUATION OF TREATMENT OUTCOMES

Normal clinical symptoms and signs and good elbow function. Compare with other elbow.

DIFFERENTIAL DIAGNOSES

OCD, synovitis (MRI and arthroscopy differentiate).

PROGNOSIS

Excellent, if treated appropriately.

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