Specialists

Featured on Channel NewsAsia

Physical Findings of Adhesive Capsulitis

The physical examination of patients with adhesive capsulitis reveals a global reduction in range of motion with a marked decrease in glenohumeral translation also present. Examination of the opposite shoulder (if normal) is performed to identify the patient’s expected normal range of motion for comparison. Evaluation for limitation of pure glenohumeral motion (best measured in […]

Function

The rotator cuff muscles centralize the humeral head and permit a single center of rotation while providing stability and strength. During active shoulder elevation, the rotator cuff muscles depress the humeral head, allowing efficient elevation of the extremity while the head remains reduced in the glenoid.

Studies have been performed evaluating the individual rotator cuff […]

The 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 anatomy in addition to […]

Tennis injury and Medial epicondylitis

Tennis injuries are generally defined as either cumulative overuse or acute (traumatic) injuries.

Overuse injuries occur over time due to stress on the muscles, joints and soft tissues without proper time for healing. They begin as a small, nagging ache or pain, and can grow into a debilitating injury if they aren’t treated early.

Medial […]

Skiing injury and ACL tear

Both skiing and snowboarding can result in sports injuries, but they tend to have slightly different injury patterns. Skiers are more likely to have knee injuries (from twisting motion during falls), and snowboarders tend to have more upper body injuries (as a result of falling on an outstretched hand). There are also many injuries common […]

ISOMETRIC CONTRACTIONS

Resisted flexion

Positioning

The subject stands with the arm hanging, the elbow flexed to a right angle and the forearm supinated. The examiner stands level with the elbow. One hand is on the distal part of the forearm and the other hand on top of the shoulder.

Procedure.

Resist the subject’s attempt to flex the […]

Complete Tears

Complete rotator cuff tears are classified as follows: 1. A small complete tear such as a puncture wound.

2. A moderate tear that still encompasses only one of the rotator cuff tendons; the tear is usually less than 2 cm (0.8 in) in size, with no retraction of the torn ends.

3. Large complete tear […]

Thickened Subacromial Bursa

A previously unrecognized form of rotator cuff injury can occur in contact sports. After an acute traumatic injury to the shoulder, the athlete may develop weakness on elevation and external rotation. The clinical symptoms are the same as for a torn rotator cuff. An MRI reveals only hypertrophic changes (enlargement and thickening) on the bursal […]

Partial Tendon Rupture

In partial tendon rupture (first- and second-degree strains), the tendon is only partly torn. Depending on the extent of the injury, the affected athlete may not always be aware that a rupture has occurred, but believes the tendon to be overused and inflamed. Partial ruptures can be divided into acute and chronic injuries.

Symptoms and […]

Tarsal Tunnel Syndrome

Basics Description Tarsal tunnel syndrome is entrapment of the tibial nerve or its distal branches caused by compression or traction as the nerve courses through the tarsal tunnel. Anatomy : Proximal tarsal tunnel: Fibro-osseous space that contains (from anterior to posterior) the PTT, flexor digitorum longus tendon, posterior tibial artery and vein, tibial nerve, […]