Specialists

Featured on Channel NewsAsia

Dupuytren’s Contracture Treatment in Singapore

Dupuytren’s Contracture

Dupuytren’s Contracture

Dupuytren’s contracture

Dupuytren’s contracture is a painless thickening and contracture of tissue beneath the skin on the palm of the hand and fingers.

Causes, incidence, and risk factors

The cause is unknown. Family history of Dupuytren’s contracture makes you more likely to develop this condition. It does not seem to be […]

Mallet Finger

WHAT IS MALLET FINGER?

Mallet finger occurs when the outermost joint of the finger is injured. With mallet finger, the tendon on the back of the finger is separated from the muscles it connects.

WHAT ARE THE CAUSES?

Commonly an athletic injury where basketball and baseball players routinely experience jammed fingers, but the injury can […]

Ganglion

WHAT IS GANGLION OF THE WRIST?

A wrist ganglion is a swelling that generally occurs over the back of the hand or wrist. These are benign, fluid-filled capsules. Ganglions are not cancerous. Although they may grow in size, they will not spread to other parts of the body.

SYMPTOMS OF GANGLION OF THE WRIST?

The […]

Protocol for Positioning and Helmet Removal-Removal of Helmet and Shoulder Pads

Manual stabilization of the cervical spine is maintained by placing one hand on each side of the athlete’s helmet. The chin strap is cut, and all accessible internal padding is removed. The second care provider (team physician) then slides his or her hands along each side of the mandible and stabilizes the cervical spine. […]

Passive supination

Procedure.

Perform an abduction movement in the shoulder: the thumb pulls the inner side of the foot upwards while the fingers push the outer side downwards.

Common mistakes.

The ankle and subtalar joints are not stabilized.

Normal functional anatomy:

• Rallge: 45-90° • End-feel: soft ligamentous • Limiting structures: medial and lateral midtarsal ligaments.

Lateral shearing

Significance

This test is used to detect internal derangement at the outer side of the knee.

Positioning.

The subject lies in the supine position,with the knee flexed to a right angle and the heel resting on the couch. The examiner sits opposite the subject at the foot-end of the couch. The heel of the […]

SPECIFIC TESTS-Medial shearing

Significance

This test is used to detect internal derangement at the inner side of the knee. Pain on jerk is suggestive for a minor lesion at the tibial insertion of the anterior cruciate ligament.

Positioning.

The subject lies in the supine position with the knee flexed to a right angle, and the heel resting […]

Tinel’s test = percussion of the carpal tunnel

Significance.

This is a percussion test for the median nerve in the carpal tunnel or for the ulnar nerve in Guyon’s tunnel. It should elicit paraesthesia in the territory either of the medjan nerve – 3l-> fingers medially and palmar, or of the ulnar nerve – 1 1> ulnar fingers.

Positioning.

The subject presents […]

SPECIFIC TESTS Phalen’s test = forced flexion of the wrist

Significance.

This is a compression test for the median nerve in the carpal tunnel. Release of the pressure causes paraesthesia in the territory of the median nerve – 3l-> fingers medially and palmar.

Positioning.

The subject presents the hand.The examiner grasps the distal forearm with the contralateral hand. With the other hand he takes hold […]

Intrinsic muscles of the hand

Remark

When the intrinsic muscles of the hand are affected,it is usually a lesion in the dorsal interossei. These muscles mainly abduct the fingers away from the middle finger.There are four dorsal interossei and three palmar ones. The latter adduct the fingers towards the middle finger. These muscles can be tested by spreading the fingers […]