Specialists

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Surgery for Repair of Webbed Fingers or Toes

Repair of webbed fingers or toes is surgery to fix webbing of the toes, fingers, or both. The middle and ring fingers or the second and third toes are most often affected.

Description

This procedure is done using general anesthesia. The patient is asleep and pain-free.

Dr Kevin Yip will mark the areas of […]

Management-Operative Management

For axillary nerve injury resulting from penetrating trauma or iatrogenic causes, management is immediate repair. When axillary nerve injury results from causes other than penetrating trauma or surgery (i.e., those with closed trauma), surgery is indicated for symptomatic patients with no clinical or EMG/NCV evidence of recovery 3 to 6 months following injury.

The best […]

Management-Nonoperative Management

Nonoperative management of an axillary nerve injury includes reassurance, activity modification, symptomatic management, and physical therapy. As the nerve recovers, active, passive-, and active-assisted range of shoulder motion should be performed to maintain motion, and electrical stimulation and strengthening exercises may help to reduce atrophy of the deltoid.

The athlete should be reassured of nerve […]

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 […]

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 […]

Cartilage Injury and Loose Bodies

SYMPTOMS

There is acute or gradual onset of exercise-induced pain around the elbow with recurrent locking or pseudo-locking or extension and flexion lag.

AETIOLOGY

This is a cartilage injury in the elbow joint, which can occur by repetitive stress or direct impact, causing mechanical blocking and synovitis.

CLINICAL FINDINGS

There is diffuse tenderness on palpation […]

Skier’s Thumb

SYMPTOMS

There is pain and swelling over the ulnar aspect of MCP I after getting stuck or from a direct impact to the thumb during a fall. These symptoms are caused by rupture of the ulnar collateral ligament at the MCP I with or without avulsion of a bony fragment.

CLINICAL FINDINGS

There […]

Hypothenar Syndrome

SYMPTOMS

There is pain and a sensation of cold in the fingers. Often sleep is disturbed by pain. It is common in martial arts and lacrosse.

AETIOLOGY

These symptoms are caused by spasm, thrombosis or aneurysm in the ulna artery in Guyon’s canal.

CLINICAL FINDINGS

There may be an ulceration of a […]

Baseball Mallet Finger

SYMPTOMS

There is localised pain and swelling around the distal inter-phalangeal (DIP) joint, which is difficult or impossible to extend fully. In chronic cases, pain and swelling may be absent but the inability to extend the distal phalanx remains.

AETIOLOGY

This injury is a rupture of the most distal insertion of the extensor digitorum […]

Prepatellar Bursitis

SYMPTOMS

There is gradual or acute onset of localised swelling and inflammatory signs over the patella.

AETIOLOGY

The bursitis can develop from a direct trauma and bleeding or from repetitive stress, when synovial fluid fills the bursa (housemaid’s knee) or when pus from infected superficial skin wounds penetrates the bursa.

CLINICAL FINDINGS

There […]