Specialists

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Ankle Sprain

Basics Description Acute sprains of the lateral ligaments about the ankle are the most common injury in sports and also occur commonly in the general population. Most commonly a partial tear or complete rupture of the ATFL occurs. More severe injuries include the CFL . Lateral ankle sprain results from an inversion mechanism. Classification […]

Rheumatoid Arthritis

Basics Description Rheumatoid arthritis is a chronic, systemic, autoimmune inflammatory disease affecting synovial joints and extra-articular systems, including the skin, eyes, cardiovascular system, bronchopulmonary system, spleen, and nervous system. Epidemiology Incidence Affects 1% of the population Prevalence Variable onset, but most frequently between the ages of 35 and 50 years Females are affected 2-3 […]

Shoulder Impingement Syndrome

Basics Description Shoulder pain with overhead activities is a common musculoskeletal complaint. Impingement syndrome: Inflammatory condition of the soft tissues of the subacromial space Most common cause of presentation for shoulder complaints to a physician’s office (>50% of all shoulder complaints) Represents a continuum, progressing from acute bursitis, to chronic bursitis, to partial-thickness tears […]

Lumbar Disc Herniation

Basics Description Low back pain affects up to 85% of the population at some point in their lives. Low back pain is one of the leading causes of disability in patients <50 years old. Herniation of a lumbar disc: 1 of the major causes of acute and chronic lower back pain May be associated […]

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 […]