Specialists

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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 […]

Muscular Hematoma

During physical activity there is a substantial redistribution of blood flow. In the muscles, it increases from about 0.8 litres per minute (1.7 US pints/min) (15% of cardiac output) at rest to at least 181/min (38 pt/min) (72% of cardiac output) during strenuous effort. It follows that the blood supply to the muscles during sporting […]

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, […]

Shoulder Impingement Syndrome

Basics Description Shoulder pain with overhead activities is a common musculoskeletal complaint. Impingement syndrome: Inflammatory condition of the soft tissues of the subacromial space Most common cause of presentation for shoulder complaints to a physician’s office (>50% of all shoulder complaints) Represents a continuum, progressing from acute bursitis, to chronic bursitis, to partial-thickness tears […]

Popliteal Cyst in the Adult

Basics Description Popliteal cyst in an adult is a distended cyst in the posterior fossa of the knee that often is connected directly to the joint space. Synonym: Baker cyst Epidemiology Bimodal distribution: 1 subset in children, 1 in adults >55 years old: In adults, cysts usually are the result of intra-articular abnormalities. In […]

Hamstring Strain

Basics Description The hamstrings are long muscles in the posterior thigh that extend from the ischial tuberosity behind the hip, down to the knee. A hamstring strain is a stretch-induced muscle injury. Tears result from the hamstring muscle suddenly changing from a stabilizing flexor to an extensor. It usually is caused by quick starts […]

A Patient’s Guide to Trochanteric Bursitis of the Hip

Introduction

A common spot for bursitis is on the side of the hip. Here a large tendon passes over the bony bump on the side of the hip. The bony bump is called the greater trochanter. Inflammation in the bursa between the tendon and the greater trochanter is called trochanteric bursitis. This problem is common […]

A Patient’s Guide to Artificial Joint Replacement of the Wrist

Introduction

The wrist joint is replaced with an artificial joint (also called a prosthesis) much less often than other joints in the body, such as the knee or the hip. Still, when necessary, this operation can effectively relieve the pain caused by wrist arthritis. When severe arthritis has destroyed the wrist joint, artificial wrist replacement […]