Specialists

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Knee Fractures in Singapore

The knee is the joint between the femur (thigh bone) and the tibial (lower leg). In front of the knee joint is the patella (kneecap), a bone set in the tendon of the big quadriceps muscle which straightens the leg. Knee fractures are injuries to one or more of these bones close to the knee […]

Noncatastrophic Cervical Spine Injuries

Noncatastrophic injuries include neuropraxia of the cervical root or brachial plexus (the “stinger” or “burner”), paracentral intervertebral disc herniation, stable fractures, spinal ligament injury, and intervertebral disc injury. These more common syndromes make up the majority of injuries encountered by sports medicine physicians.

Unilateral upper extremity involvement usually represents neuropraxia of a cervical nerve root […]

Catastrophic Cervical Spine Injuries-Unstable Fractures and Dislocations

As expected, unstable fractures and/or dislocations make up the majority of catastrophic spinal injuries in athletes. An osseous or ligament injury is considered to be unstable when it results in loss of the ability of the spine, under physiological loads, to maintain its premorbid patterns of motion, so there is no initial or additional damage […]

Cervical Spine Injuries in the Athlete

Key Points

Football, ice hockey, rugby, skiing, snowboarding, and equestrian athletes have been identified as being at an increased risk of spinal cord injury. Athletic injuries are the fourth most common cause of spinal cord injury. The risk is small, but such an injury can be devastating to a young player’s career and life. Equipment […]

Growth Factors

A vast and rapidly growing literature abounds on a class of peptides commonly called growth factors. Accelerated healing of skin wounds has been reported after local application of several growth factors.

After injury, the platelets travel to the wound site, form a clot, and hemostasis is obtained. Platelets secrete peptides such as platelet-derived growth factor […]

Fractures and Dislocations

Dislocation

Dislocation of the elbow joint occurs mainly in athletes participating in contact sports, such as football, rugby, and ice hockey, but can also occur in riders, cyclists, wrestlers, skiers, and squash players. A common cause of this injury is falling on the hand with a bent elbow. A similar injury can occur if the […]

Ligament injuries

Ligament injuries in athletes are common, particularly around the knee and the ankle. They also occur in the shoulder, elbow, and thumb

Functional anatomy

Ligaments are attached to the two bones that compose the joint . Ligaments provide stability to the joint, while still allowing motion. They cannot actively resist motion, but provide a ‘check […]

Sprains

Basics Description Sprains refer to damaged ligaments, and they are the result of overstretching of the tissues. Injuries to the ligamentous structures of movable joints are among the most common complaints seen in primary care medicine, as well as in the subspecialty areas of orthopaedic surgery. Sprains can occur in any movable joint. Classification: […]

Scaphoid Fracture

Basics Description Fracture of the most radial (thumb side) of the carpal bones, usually as a result of a dorsiflexion injury to the wrist The most common of the carpal fractures, estimated at 60% Frequent problems include delayed diagnosis and nonunion. Classification: Chronologically: Acute or chronic Anatomically: In the proximal, middle, or distal third […]

Posterior Cruciate Ligament Injury

Basics Description Injury to the OSD, the primary stabilizer to posterior translation of the tibia on the femur at the knee Classification (see Posterior drawer test under Physical Exam): Grade 1: Tibial plateau is anterior to the femoral condyles. Grade 2: Tibial plateau is level with the femoral condyles. Grade 3: Tibial plateau is […]