Specialists

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Carpal Tunnel Syndrome

WHAT IS CARPAL TUNNEL SYNDROME?

Carpal tunnel syndrome occurs when the median nerve which runs from the forearm into the hand becomes pressed or squeezed at the wrist. This results in pain, weakness, or numbness in the hand and wrist, radiating up the arm.

HOW IS CARPAL TUNNEL SYNDROME DIAGNOSED?

A physical examination help determine […]

Slipped Capital Femoral Epiphysis

Basics Description SCFE is a disorder of the hips of adolescents or preadolescents in which the femoral head is displaced relative to the rest of the femur. The femoral head remains in the acetabulum. Most notable features: The outward rotation of the lower femur and leg and a limp Classification: Stable versus unstable (1): […]

Quadriceps Tendon Rupture

Basics Description Rupture of the quadriceps tendon (knee extensor mechanism) results in an inability to extend the leg. In patients >40 years old, rupture may be secondary to tendon degeneration. Classification: Complete versus incomplete General Prevention Stretching before athletics and thigh-strengthening exercises in patients with chronic tendinitis could provide some protection. Epidemiology A rare […]

Posterior Tibial Tendon Rupture

Basics Description PTT dysfunction or rupture is the most common cause of adult acquired flatfoot deformity. A working knowledge of the anatomy and function of the PTT in the normal foot is necessary to understand the pathophysiology that results from dysfunction. Origin: Posterior aspect of the tibia, the fibula, and the interosseous membrane Course: […]

Osteochondritis Dissecans of the Knee

Basics Description A pathologic joint entity of localized bone necrosis with overlying cartilage injury Osteochondritis dissecans primarily affects the knee, but it is also seen in the hip (in late Legg-Calve-Perthes disease), elbow, and ankle. Osteochondritis dissecans occurs primarily in the 2nd decade of life, but it also is seen in children and older […]

Osteoarthritis

Basics Description The most prevalent form of arthritis May occur in virtually any joint of the body Has no cure and leads to pain and joint dysfunction The end result is loss of articular cartilage with secondary bone changes, including osteophytes, subchondral sclerosis, and subchondral cysts. Classification is by single or multiple joint involvement. […]

Lumbar Disc Herniation

Basics Description Low back pain affects up to 85% of the population at some point in their lives. Low back pain is one of the leading causes of disability in patients <50 years old. Herniation of a lumbar disc: 1 of the major causes of acute and chronic lower back pain May be associated […]

Knee Pain

Basics Description Knee pain has many causes, including pathologic processes in the knee and disorders in distant locations with referral to the knee area. Diffuse or located in a specific region A characteristic history and physical examination frequently narrow the diagnosis. Classification: Traumatic Acquired Risk Factors Athletic activity Obesity Sedentary lifestyle Etiology Traumatic injury […]

Hip Transient Synovitis

Basics Description Transient synovitis is characterized by the acute onset of monarticular hip pain, limp, and restricted hip motion. It must be distinguished from septic arthritis. Gradual but complete resolution over several days to weeks is the norm. Synonyms: Toxic synovitis; Irritable hip Epidemiology Transient synovitis is the most common cause of hip pain […]

Hip Replacement

Basics Description Many forms of arthritis lead to destruction of the articular cartilage of the hip joint, resulting in pain and loss of function. End-stage arthritis can be treated with surgical replacement of the joint. Elderly patients may have a greater risk of cardiac complications and more associated medical problems than younger patients. Patients […]