Specialists

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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. […]

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 […]

De Quervain’s Tenosynovitis

SYMPTOMS

There is localised, sometimes intense exercise-induced pain and swelling over the radial part of the wrist. This is common in racket sports.

AETIOLOGY

These symptoms are caused by compression of the abductor pollucis longus and extensor pollucis brevis by swollen, inflamed or hypertrophied tendon sheaths.

CLINICAL FINDINGS

There is tenderness on palpation over […]

Adductor Tendonitis / Tendinosis

SYMPTOMS

Gradual onset of diffuse or localised exercise-induced pain at the insertion of the adductor longus around the symphysis. It can be associated with a slip, strain or split on a slippery football pitch. It is common in footballers, who usually complain of an inability to strike the ball with full power.

AETIOLOGY

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Patellar Tendinosis

SYMPTOMS

Gradual onset of diffuse exercise induced pain or ache around the proximal part of the patellar tendon. It is common in middle-aged runners and recreational athletes in racket sports.

AETIOLOGY

Tendinosis is defined from histopathological findings as a free tendon condition with altered collagen structure, thickening of the tendon, re-vascularisation and increased […]

Stress Fracture of Posterior Tibia

SYMPTOMS

Gradual onset of localised exercise induced pain at the posterior medial aspect of the tibia. This injury is common in young or adolescent athletes. It typically occurs as a result of sudden changes in training habits, such as increase in intensity or amount of impact.

AETIOLOGY

This is a non-tension-side stress fracture, caused […]

Stress Fracture of Fibula

SYMPTOMS

Gradual onset of localised exercise induced pain on fibula. This injury is common in young athletes but less common than tibia stress fractures. It typically occurs as a result of sudden changes in training habits, such as increase in intensity or amount of impact.

AETIOLOGY

This stress fracture is caused by excessive jumping or […]

Anterior Tibia Stress Fracture

SYMPTOMS

There is a gradual onset of localised exercise-induced pain at the anterior edge of the tibia, often affecting ballet dancers and athletes in jumping or running sports with high-impact forces or when plyometric training is involved (e.g. basketball, high jump or long jump). Initially, the symptoms may be vague but gradually they become so […]

Achilles Tendinosis

SYMPTOMS

Gradual onset of diffuse exerciseinduced pain or ache around the Achilles tendon. Often the athlete has noted a tender nodule at the mid-portion of the Achilles tendon. It is most common in middle-aged runners and recreational athletes.

AETIOLOGY

‘Tendinosis’ is defined from histopathological findings as a free tendon condition with an altered […]