Rectus Femoris Musculotendinous Junction Tear – Result of Surgical Repair
Rectus Femoris Tear A tear of the musculotendinous junction of the rectus femoris muscle is an uncommon injury. Most surgeons do not have much experience in treating this entity surgically. I had the opportunity to repair this tear for one footballer. He presented to me within 6 weeks of the injury. The repair was technically … Read more
Falling on the Outstretched Hand – A Case of Trans-Scaphoid Perilunate Dislocation
Acute fracture-dislocations of the wrist bones are uncommon. These injuries can result in wrist pain and dysfunction as a result of progressive traumatic arthritis. Of all the wrist dislocations ,the perilunate dislocation is most common and the most common pattern is trans-scaphoid parilunate fracture dislocation. Most patients are young males and mode of injury is … Read more
Golfer’s Elbow – Surgical Treatment for the Recalcitrant Cases
Golfer’s elbow refers to pain on the inner aspect (medial epicondyle) of the elbow. It is different from tennis’s elbow where the pain in on the outer aspect (lateral epicondyle) of the elbow. The pain is situated at the bony bump on the inner aspect of the elbow where the flexor tendons of the forearm … Read more
2012 in review
The WordPress.com stats helper monkeys prepared a 2012 annual report for this blog. Here’s an excerpt: 19,000 people fit into the new Barclays Center to see Jay-Z perform. This blog was viewed about 81,000 times in 2012. If it were a concert at the Barclays Center, it would take about 4 sold-out performances for that … Read more
Persistent and Vague Shoulder Pain – Consider Posterior Inferior Labral Tear
Persistent and Vague Shoulder Pain – Consider Posterior Inferior Labral Tear Case Example A 30 year old man presented with increasing deep seated shoulder pain for the past 1 year. It was attributed to a work accident where his left shoulder was forcefully pusshed backward while supporting against a heavy container. He did not … Read more
Triangular Fibrocartilage Complex (TFCC) Tear – Treatment by Arthroscopy
Wrist Arthroscopy for TFCC Tear (Ulnar-Sided Wrist Pain) What Is TFCC? Triangular Fibro Cartilage Complex Found in the wrist joint It is the ligamentous and cartilaginous structures that suspend the distal radius and ulnar carpus from the distal ulna Causes of TFCC Tears Falls onto pronated hyperextended wrist Power-drill injuries in which the drill binds … Read more
An Arthroscopic (Key-hole) Treatment of Tennis Elbow
Tennis Elbow is a common cause of lateral sided elbow pain. Contrary to the given name, many sufferers of tennis elbow do not necessarily play tennis. The diagnosis is usually straight forward. The area of the tennis elbow pain can be identified with one finger and it is usually on the outer bony prominence of … Read more
Ankle Sprains – What to do it it is recurrent and unstable?
Ankle Sprains Some interesting statistics about Ankle Sprains: •1/10,000 persons/day •23,000 ankle sprains in the U.S. each day •40-45% of sports injuries are ankle injuries •85% of ankle injuries are sprains •85% of sprains are due to inversion with injury to the lateral ligaments Inversion sprains (where the foot turns inwards) are the most common … Read more
The Difficult to Diagnose Knee Pain – It Could Be Due To Menisco-Capsular Separation
Knee Pain Some knee pains are notoriously difficult to diagnose. It is even more baffling when the expensive MRI scan of the painful knee is reported as being normal! I occasionally encounter such patients. They come into my clinic with a problem of pain in the inner side (medial joint line) of the knee. There … Read more
