Specialists

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Thumb Arthritis

Basics

Description Degenerative joint disease commonly presents in the hand and is associated with pain, swelling, loss of motion, and, later, deformity. Frequently, the thumb is the earliest site of involvement, with the CMC joint affected 1st, especially in osteoarthritis. The 1st CMC joint is considered the most important joint of the hand. Thumb arthritis, […]

Skeletal Scintigraphy

Basics Description Skeletal scintigraphy is a nuclear medicine imaging method for bone disease. Advantages: High sensitivity for early detection of disease Whole body survey Disadvantage: Limited specificity Diagnosis Signs and Symptoms Indications Whole body skeletal scintigraphy: Primary bone tumors Osteomyelitis Joint prosthesis pain Occult fractures Stress fractures and shin splints Spondylosis Reflex sympathetic dystrophy […]

Septic Knee

Basics Description A septic knee is an infection of the synovial lining of the knee joint. Predisposing factors include arthritis, intravenous drug abuse and alcoholism, steroid use, and any form of immunosuppression . Epidemiology Incidence Common May occur in infants, children, adults, and the geriatric population Risk Factors Intravenous drug abuse and alcoholism Trauma, […]

Quadriceps Tendon Rupture

Basics Description Rupture of the quadriceps tendon (knee extensor mechanism) results in an inability to extend the leg. In patients >40 years old, rupture may be secondary to tendon degeneration. Classification: Complete versus incomplete General Prevention Stretching before athletics and thigh-strengthening exercises in patients with chronic tendinitis could provide some protection. Epidemiology A rare […]

Knee Pain

Basics Description Knee pain has many causes, including pathologic processes in the knee and disorders in distant locations with referral to the knee area. Diffuse or located in a specific region A characteristic history and physical examination frequently narrow the diagnosis. Classification: Traumatic Acquired Risk Factors Athletic activity Obesity Sedentary lifestyle Etiology Traumatic injury […]

Hip Avascular Necrosis

Basics Description AVN is osteonecrosis, or death of the bone. All major joints can be affected. In the pediatric population, this condition is called Legg-Calve-Perthes disease and, in general, has a better prognosis than osteonecrosis in the adult. AVN of the hip is osteonecrosis of the femoral head. Synonyms: Osteonecrosis; Aseptic necrosis; Chandler disease […]

Bunion/Hallux Valgus

Basics Description A bunion is an enlargement of the medial eminence of the 1st metatarsal with soft tissue and bursal swelling. Hallux valgus occurs primarily at the MTP joint and consists of lateral deviation of the great toe with medial deviation of the 1st metatarsal. Subluxation of the MTP joint often occurs. General Prevention […]

Arthrocentesis

Basics Description Aspiration of synovial joints is performed for diagnostic or therapeutic purposes. Etiology Causes of joint effusions: Infection Crystalline arthropathies Hemophilia Autoimmune arthropathies Trauma PVNS Diagnosis Signs and Symptoms Synovial joints are aspirated for myriad reasons, the most common of which include: To rule out infection To diagnose arthropathies To relieve pain Joints […]

General Problems

Singapore Orthopaedics

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Arthritis Arthroscopy Cast Care Cumulative Trauma Disorder Fibromyalgia Gout Joint Injections for Arthritis Lyme Disease Medications for Arthritis Osteoarthritis Osteoporosis Postsurgical Infection Psoriatic Arthritis Rehabilitation for Arthritis Rheumatoid Arthritis Septic Arthritis Systemic Lupus Erythematosus Tendonitis Viral Arthritis

A Patient’s Guide to Gout

Introduction

Gout is a disease that involves the build-up of uric acid in the body. About 95 percent of gout patients are men. Most men are over 50 when gout first appears. Women generally don’t develop gout until after menopause. But some people develop gout at a young age.

This guide will help you understand

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