Specialists

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Elbow Dislocation Treatment in Singapore

Basics Description Dislocation of the elbow mostly results from trauma. Posterior dislocation is most common. It most frequently involves people <20 years of age. Rarely, elbow dislocation can occur in elderly patients after a fall. Most elbow dislocations occur at the ulnohumeral joint. Classification: Usually refers to the position of the ulna relative to […]

Vertebral Osteomyelitis Treatment in Singapore

Basics

Description Infection of the vertebral bony elements, not including the disc space General Prevention Prevention of HIV and hepatitis Early treatment of hematogenous infection Postoperative wound care, including dressing changes and prophylactic postsurgical antibiotics Epidemiology Bimodal distribution: Small peak in youth (10-20 years old) Largest peak in adults >50 years old Increasing rates in […]

Torticollis Treatment in Singapore

Basics

Description A limitation of motion of the cervical spine that causes the head to be held in a tilted position May result from muscular, skeletal, or neurologic abnormalities (Fig. 1) Classification : Congenital abnormalities Acquired abnormalities Synonyms: Skeletal wry neck; Congenital wry neck; Cock-robin deformity; Sandifer syndrome (torticollis resulting from gastroesophageal reflux disease and […]

Sacral Insufficiency Fracture Physical Therapy in Singapore

Description Sacral Insufficiency fractures occur in the sacral ala between the SI joints and the neural foramina (Denis Zone 1). The fracture pattern adopts a characteristic H-shape, which is pathonemonic of the condition. It is postulated that the vertical limbs of the H occur 1st, followed by the transverse fracture line. In ~50% of […]

Osteochondroma Symptoms & Treatment in Singapore

Description An osteochondroma is a common developmental abnormality of the peripheral growth plate that results in a lobulated outgrowth of cartilage and bone from the metaphysis. Appears as a cartilage-capped bony projection from the metaphysis of long bones Can occur in any bone that develops from enchondral ossification Most commonly occurs in: Long bones, […]

Hamstring Strain Treatment in Singapore

Basics Description The hamstrings are long muscles in the posterior thigh that extend from the ischial tuberosity behind the hip, down to the knee. A hamstring strain is a stretch-induced muscle injury. Tears result from the hamstring muscle suddenly changing from a stabilizing flexor to an extensor. It usually is caused by quick starts […]

Cubital Tunnel Syndrome

Basics Description Cubital tunnel syndrome consists of pain and paresthesias over the medial border of the forearm and hand, as well as weakness in an ulnar nerve distribution from compression of the ulnar nerve as it passes through the cubital tunnel at the elbow. It affects the elbow, forearm, and hand in the ulnar […]

Syndactyly Surgery & Treatment in Singapore

Description Webbed fingers (or toes) , usually detected at birth Classification: Internal involvement: Simple (skin only) versus complex (bony involvement/fusion) Extent of syndactyly: Complete (entire length of digits involved) versus incomplete (some part of fingers joined) Synonym: Webbed digits Epidemiology More common in Caucasian males Incidence Syndactyly occurs per ~1 per 2,000 births . […]

Unicameral Bone Cyst

Basics

Description A benign membrane-lined, fluid-filled lesion of bone that develops in childhood and fills in by maturity Location: 80% occur in the proximal humerus and proximal femur. Other, less common, areas are the proximal tibia, distal tibia, distal femur, calcaneus, distal humerus, radius, fibula, ilium, ulna, and rib. Usually centrally located adjacent to the […]

Toe Walking

Basics

Toe walking is a walking pattern in which a child walks on balls of his feet, with no contact between the heels & ground.

Description Idiopathic toe walking in toddlers is common. Most commonly caused by a shortened Achilles tendon Some of these children eventually adopt normal walking patterns with growth. Persistent and exclusive […]