Specialists

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Post-Traumatic Shoulder Stiffness

SYMPTOMS

There is gradual onset of diffuse pain or ache, and stiffness in the shoulder after previous trauma or immobilisation. Physiotherapy, after manipulation under anaesthesia and arthroscopic release, improves the condition dramatically. Secondary problems in the neck and upper back are almost inevitable and must be addressed.

AETIOLOGY

This disorder has similar symptoms to frozen […]

Posterior Shoulder Dislocation

SYMPTOMS

There is acute onset of localised swelling and pain over the posterior part of the shoulder, with typical deformation, after an excessive trauma. This injury is more common in epileptics and alcoholics than in athletes.

AETIOLOGY

This injury accounts for fewer than 5 per cent of shoulder dislocations. It is uncommon in sport […]

Clavicle Fracture

SYMPTOMS

There is acute onset of localised swelling and pain over the anterior part of the shoulder, with typical deformation, after direct or indirect trauma, often in a young athlete.

AETIOLOGY

It is common in rugby, ice hockey, riding and cycling.

CLINICAL FINDINGS

A clavicle fracture is usually easy to diagnose since the […]

Biceps Tendon Rupture

SYMPTOMS

There is acute onset of pain over the anterior part of the shoulder with a lump typically forming at the mid-biceps from the retracted muscle bulk (the ‘Popeye sign’). Usually the biceps longus tendon, originating from the anterior superior labrum, ruptures and the short biceps tendon originating at the coracoid is intact. This […]

Anterior Shoulder Dislocation

SYMPTOMS

There is acute onset of localised swelling and pain over the anterior part of the shoulder with deformation, after an excessive external rotation and abduction trauma. This is the most common type of dislocation in sports (85-90 per cent). Movements of the arm cause pain and the patient will protect the arm in […]

Acromio-Clavicular Dislocation

SYMPTOMS

There is acute onset of localised swelling and pain over the acromio-clavicular joint with or without immediate deformation.

AETIOLOGY

This injury can occur after a direct trauma or tackle to the shoulder or after a fall on to an outstretched arm. It is common in rugby, ice hockey or riding and cycling. […]

Iliopsoas Related Groin Pain

SYMPTOMS

Gradual onset of diffuse or localised exercise-induced groin pain and occasionally lower back pain. A runner often complains that he cannot produce enough force in the stride forwards and a footballer cannot strike a ball properly. This condition can also present as low back pain.

AETIOLOGY

This is secondary pain in the groin […]

Hip Joint Labral Tears

SYMPTOMS

There is gradual onset of diffuse exercise-induced pain in the groin. Occasionally the patient experiences, and may be able to demonstrate, clicking from the groin in rotational movement. The hip joint is usually stiff and more painful in the morning than in the afternoon and rotational movements are most difficult. In severe cases […]

Patellar Instability or Mal – Tracking

SYMPTOMS

The knee feels unstable or weak, or gives way in association with recurrent pain around the anterior part of the knee, with or without preceding trauma. It is particularly common in young female athletes.

AETIOLOGY

This condition can be caused by inherited conditions such as patella baja or alta, genu valgus or […]

Osteochondritis Dissecans (OCD)

SYMPTOMS

There is gradual onset of diffuse or localised exercise-induced pain and soreness, often also at rest, usually in a young athlete without preceding trauma.

AETIOLOGY

The aetiology is unknown but is often thought to be due to repetitive minor trauma. The sub-chondral bone goes into avascular necrosis and the overlying cartilage cracks. […]