Specialists

Featured on Channel NewsAsia

Nerve Injuries/Entrapment

Nerve injuries can occur with both arthroscopic and open shoulder procedures. The axillary nerve courses from anterior to posterior from the posterior cord of the brachial plexus, 3 to 5 mm medial to musculotendinous junction of the inferior lateral border of the subscapularis muscle. It lies in contact with the GH joint capsule until it […]

Humerus

The proximal humerus is composed of the humeral head, the lesser and greater tuberosities, the bicipital groove, and the proximal humeral shaft, and it is highly variable. The anatomical neck lies at the junction of the articular surface of the head and the greater tuberosity and humeral shaft. The surgical neck lies below the greater […]

Evaluation-Physical Examination

The athlete with a burner may come off the field shaking his or her arm and hand. If significant neck pain exists, or when neurological symptoms involve two or more extremities, cervical spine precautions should be taken with the athlete until the player is cleared from having a cervical spine injury.

A typical examination of […]

Passive tests-Passive glenohumeral abduction

Positioning.

The subject stands with the upper arm alongside the body. The examiner stands level with and behind the subject’s arm. One hand takes hold of the elbow, just above the joint.The thumb of the other hand is placed against the lateral aspect of the lower angle of the scapula.

Procedure.

Abduct the arm […]

Elbow Injuries in Children

Elbow injuries in children

Unique bony problems of the elbow are seen in children and adolescents. The pathology of these problems corresponds to each stage in the development of the elbow—that is, prior to the appearance of all the secondary centers of ossification in children; prior to fusion of the ossification centers in adolescents; and […]

Dislocation of the Shoulder Joint

Dislocation of the shoulder joint is a relatively common injury in sports such as ice hockey, team handball, American football, rugby, riding, alpine skiing, skating, and wrestling. Shoulder dislocations are 3 times more common in men 20–30 years old, than in persons aged over 30 years. The male to female ratio for primary dislocation is […]

Osteochondritis Dissecans

Osteochondritis dissecans (OCD) is a localized separation of a segment of bone and cartilage from the surrounding, normal bone and cartilage. If the bony part of the fragment becomes necrotic (dead),there will be no healing and there will be a complete separation of the fragment from the surrounding tissue. In 75% of cases the lesion […]

Iliotibial Band Friction Syndrome

SYMPTOMS

Gradual onset of diffuse or localised exercise-induced pain at the lateral aspect of the knee without preceding trauma. It is most common in long-distance runners and is often labelled ‘runner’s knee’.

AETIOLOGY

This is a stress reaction; periostitis often combined with bursitis at the insertion of the iliotibial tract at the distal lateral femur […]

Anterior Chronic Compartment Syndrome

SYMPTOMS

There is a gradual onset of diffuse exercise-induced pain on the anterior lateral aspect of the lower leg. It is common in fairly short but muscular ‘bulky’ athletes. The pain becomes so great that continued sport is not possible. The athletes complain that the muscles feel like they are bursting. Rest, with the […]

Lateral Ankle Ligament Ruptures

SYMPTOMS

The patient refers to a sudden sharp tearing pain around the lateral aspect of the ankle joint after an acute inversion sprain or, on occasions, of recurrent instability after previous sprains.

AETIOLOGY

The anterior talo-fibular (ATF) and fibulo-calcanear (FC) ligaments are the most commonly damaged structures in uncomplicated inversion-plantar flexion ankle sprain. Most […]