Specialists

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Sacral Insufficiency Fracture Physical Therapy in Singapore

Description Sacral Insufficiency fractures occur in the sacral ala between the SI joints and the neural foramina (Denis Zone 1). The fracture pattern adopts a characteristic H-shape, which is pathonemonic of the condition. It is postulated that the vertical limbs of the H occur 1st, followed by the transverse fracture line. In ~50% of […]

A Patient’s Guide to Nutrition and Surgery

General surgery nutrition

General surgery nutrition

Introduction

Surgery always means a certain amount of risk to your well being. Surgery is a deliberate, skillful injury to your body. It may take you several weeks to months to heal. Infections and blood loss are two possible complications that your surgeon will want to help you avoid. […]

A Patient’s Guide to Nutraceuticals (Dietary Supplements)

Nutraceuticals

Introduction

Nutraceuticals

Nutraceutical is a new word, invented by Dr. Stephen DeFelice in 1989. It is two words put together: nutritional and pharmaceutical. Nutraceuticals are dietary supplements that are also called functional foods.

According to the U.S. Food and Drug Administration (FDA), a nutraceutical is any substance that is a food or a […]

Subtrochanteric Fracture

Basics Description By definition, subtrochanteric hip fractures (or, simply, subtrochanteric fractures) extend into the region between the lesser trochanter and a point 5 cm distally. Classification: Multiple systems exist, but prognostically the most critical factor is fracture stability, which is based on the degrees of comminution of the medial and posteromedial cortex. The Russell […]

Stress Fracture

Basics Description A stress (microscopic) fracture occurs when: Repetitive stresses are applied to a bone faster than it is able to remodel to withstand this challenge. As the stressing force continues, the bone gradually fatigues and eventually breaks. Remodeling occurs in response to the stress but does not happen quickly enough to prevent the […]

Shoulder/Proximal Humerus Fracture

Basics Description The proximal humerus consists of the articular surface of the shoulder joint and the attachments of the rotator cuff to the greater and lesser tuberosities. Most of the blood supply to the humeral head comes from the anterior humeral circumflex branch of the axillary artery. >90% of proximal humeral fractures result from […]

Intertrochanteric Hip Fracture

Basics Description Fractures of the proximal femur located between the greater and lesser trochanters and external to the capsule of the hip joint The greater and lesser trochanters may be avulsed as separate fragments. Many classification systems have been developed that are unreliable in identifying fracture types, but in general, they are classified as […]

Humeral Shaft Fracture

Basics Description Fractures of the diaphysis (shaft) of the humerus Occur at all ages Classification: AO classification method Anatomic location: Proximal 1/3 of the shaft Medial 1/3 of the shaft Distal 1/3 of the shaft Fracture characteristics: Fracture pattern (transverse versus oblique versus comminuted) Fractures may be open or closed. Pathologic (secondary to underlying […]

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 […]

Forearm Fracture

Basics Description Forearm fractures involve the bones of the forearm (the radius and ulna), and sometimes the fractures are associated with elbow and wrist injuries. In addition to the bone injury, soft-tissue injuries may include compartment syndrome, neurapraxia, and vascular damage. Adults are more susceptible than children to more severe injuries. Adults also require […]