Specialists

Featured on Channel NewsAsia

Hip Dislocation

Basics Description Dislocations and fracture-dislocations of the hip are orthopaedic emergencies. Serious, high-energy injuries in which the femoral head becomes completely dislodged from the acetabulum A thorough examination must be performed to assess for other possible injuries. Up to 50% of patients suffer other fractures at the time of injury. Associated acetabular or femoral […]

Hip Arthritis

Basics Description Hip arthritis is caused by loss of the articular cartilage of the acetabulum and proximal femur. As the cartilage is lost, the subchondral bone of the proximal femur and the acetabulum rub, causing pain with ambulation, loss of motion, and disability. General Prevention Low-impact exercise (swimming, biking, walking) Activity modification Weight loss […]

Hip Anatomy and Examination

Basics Description Bones: Pelvis and femur bone The acetabulum is the socket Muscles: Flexors: Iliopsoas, sartorius, rectus femoris Extensors: Gluteus maximus, hamstring muscles Abductors: Gluteus medius, gluteus minimus Adductors: Gracilis, pectineus, adductor longus, adductor brevis, adductor magnus Nerves: Femoral: Hip flexors Obturator: Adductors Superior gluteal: Abductors Ligaments: Sacroiliac: Sacrum to ilium Sacrotuberous: Sacrum to […]

Femoral Neck Fracture

Basics Description Femoral neck fracture is the most common cause of a broken hip. The femoral neck is the intracapsular portion of the proximal femur between the femoral head and the lesser and greater trochanters. Femoral neck fractures are most common in elderly patients, although younger patients involved in high-energy trauma also are affected. […]

Dislocation in the Adult

Basics Description Dislocation occurs when a force across a joint disrupts the restraining capsule, ligaments, and muscles. Dislocated joints may reduce spontaneously or remain unreduced. Dislocations can be associated with periarticular fractures, ruptured ligaments, capsular damage, and cartilage damage. The dislocation may result in stretch or injury to the arteries or nerves that cross […]

Developmental Dysplasia of the Hip

Basics Description DDH covers a spectrum of varying degrees of superolateral displacement of the femur and deformation of the acetabulum, developing mostly in utero or, rarely, in infancy. It usually is discovered on routine screening in early childhood. It occasionally is discovered in teens with a limp or pain, in which case it probably […]

Acromioclavicular Joint Arthritis

//

Basics Description The AC joint can become a source of pain in the shoulder, often because of degenerative osteoarthritis, posttraumatic arthritis, or distal clavicle osteolysis. Diagnosing problems of the AC joint: Best diagnosed with pain on palpation, reproduction of pain with cross-body adduction, and diagnostic injections Plain radiographs, especially the Zanca view, or […]

Prolotherapy Therapy with Platelet Rich Plasma

Tendons and ligaments connect muscles to bones, making it possible to do all kinds of physical activities. Overuse or damage to tendons over a long period of time causes the collagen fibers that make up the tendons to form small tears, a condition called Tendinosis. Ligaments are composed of collagen fibers and hold bones together, […]

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 Stress Fracture of the Hip

Introduction

Stress fractures of the hip once most commonly affected military personnel who marched and ran day after day. Today, stress fractures of the hip are more common in athletes, especially distance runners.

There are two types of stress fractures. Insufficiency fractures are breaks in abnormal bone under normal force. Fatigue fractures are breaks in […]