Specialists

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Radial Tunnel Syndrome

SYMPTOMS

There is gradual onset of exercise induced pain around the elbow.

AETIOLOGY

This is an entrapment of the radial nerve between the supinator muscle bulks, often affecting players in racket sports and spin bowlers.

CLINICAL FINDINGS

There is pain around the elbow on resisted extension of the middle finger. Tinel’s sign […]

Golfer’s Elbow

SYMPTOMS

There is gradual onset of exerciseinduced pain around the medial epicondyle of the elbow that is aggravated by hyper-extension.

AETIOLOGY

This is an over-use type injury of unknown aetiology, often affecting the wrist flexor muscle origins at the medial epicondyle in racket sports players, javelin throwers and cricket bowlers. Despite the name, […]

Distal Biceps Tendon Rupture

SYMPTOMS

There is acute pain in the elbow and sudden weakness in elbow flexion.

AETIOLOGY

This is an acute injury, where the tendon usually ruptures close to the distal insertion at the radius during an excessive elbow extension or flexion manoeuvre.

CLINICAL FINDINGS

Pain and weakness is provoked by resisting elbow flexion. […]

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 […]

Squeaker’s Wrist

SYMPTOMS

There is exercise-induced pain and crepitation and swelling 6-8 cm proximal to Lister’s tubercle at the wrist.

AETIOLOGY

These symptoms are caused by a peri-tendinous bursitis between the first (abductor pollucis longus, extensor pollucis brevis) and second (extensor carpi radialis longus, extensor carpi radialis brevis) extensor compartments. This condition often affects rowers, […]

Stress Fracture of the Radial Epiphysis

SYMPTOMS

There is exercise-induced pain and localised swelling over the distal radius. It is common in young gymnasts, soccer players and martial arts athletes.

AETIOLOGY

These symptoms are caused by a stress fracture of the radial epiphysis from excessive tension-compression activities.

CLINICAL FINDINGS

There is localised tenderness on palpation and pain on […]

Skier’s Thumb

SYMPTOMS

There is pain and swelling over the ulnar aspect of MCP I after getting stuck or from a direct impact to the thumb during a fall. These symptoms are caused by rupture of the ulnar collateral ligament at the MCP I with or without avulsion of a bony fragment.

CLINICAL FINDINGS

There […]

Scaphoid Fracture

SYMPTOMS

There is localised pain and swelling over the medial base of the wrist. Wrist movement and gripping are painful. It is common in ice hockey, rugby, handball and similar sports.

AETIOLOGY

These symptoms are caused by fracture of the scaphoid bone through trauma caused by a direct fall on to an outstretched […]

Rugby Finger

SYMPTOMS

There is localised exercise-induced pain and inability to flex the DIP or PIP joint of the third finger.

AETIOLOGY

These symptoms are caused by rupture of the volar plate with or without avulsion of a bony fragment or the flexor tendon insertion. It occurs when the finger is hyper-extended by force during […]

Hypothenar Syndrome

SYMPTOMS

There is pain and a sensation of cold in the fingers. Often sleep is disturbed by pain. It is common in martial arts and lacrosse.

AETIOLOGY

These symptoms are caused by spasm, thrombosis or aneurysm in the ulna artery in Guyon’s canal.

CLINICAL FINDINGS

There may be an ulceration of a […]