Specialists

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Treatment-Nonoperative

The goal of treatment is return to play by the athlete. Athletes can perform a certain level of activity if they have conditioned themselves both physically and mentally. Patient education is the key to obtaining compliance in the rehabilitation of the athlete. Although the pathology of a spinal problem appears to be complex, the athlete […]

Triceps Tendon Rupture

SYMPTOMS

There is acute onset of pain and bleeding around the triceps, tendor insection at the olecranon of the elbow, and loss of extension power.

AETIOLOGY

This is an injury occurring from an excessive eccentric contraction or direct impact to the elbow, often affecting players in contact sports. Occasionally an avulsion fracture may […]

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 […]