Painful Bunions – What You Can Do About Them!
What Are Bunions? A bunion is a bony lump on the side of your foot at the big toe. It forms when your big toe starts to angle towards your second toe. The bunion eventually causes discomfort and pain. The skin over the lump can become red, blistered or infected. A fluid-filled space called a … Read more
Tibial Plateau Fracture – Using Arthroscopy to Help Obtain Good Result
The knee joint is the junction between the thigh bone (femur) and the shin bone (tibia). It can be injured in accidents or during sports. When the articular surface of the tibia of the knee joint is injured, it is termed a tibial plateau fracture. Such fractures need to be treated such that the articular … Read more
A Football Injury – Organising Haematoma Mimicking as a Leg Cancerous Tumour
A haematoma, or hematoma, is a localized collection of blood outside the blood vessels, usually in liquid form within the tissue. This distinguishes it from an ecchymosis, which is the spread of blood under the skin in a thin layer, commonly called a bruise. Chronic expanding haematoma of soft tissue is a rare entity. It … Read more
Posterior Cruciate Ligament (PCL) Tears – How I Treat These Injuries
What is the Posterior Cruciate Ligament (PCL)? A ligament is a strong fibrous tissue that attaches one bone to another. The anterior and posterior cruciate ligaments form an “X” in the centre of the knee joint. The posterior cruciate ligament (PCL) being the larger of the 2 and situated behind the anterior cruciate ligament (ACL). … Read more
Heel Pain – Think of Haglund’s Syndrome (Pump Bump)
Haglund’s Syndrome as a Cause of Heel Pain A bony growth that appears at the back of the heel bone can occur. This growth is called an exostosis (a benign cartilaginous growth) and is known as Haglund’s deformity. This bony prominence can rub against the overlying Achilles tendon and causes pain in the tendon. A … Read more
Deep Seated Pain at Back of Knee with Bending – Think of Mucoid Degeneration of ACL
Mucoid Degeneration of the ACL What Is Mucoid Degeneration of the ACL? This is basically an MRI diagnosis of expansion and increased signal of an intact ACL in a person with knee pain which is worse on knee flexion/bending. Presentation Patients usually present with nonspecific posterior knee pain with restriction of flexion. There is usually … Read more
Sudden Onset of Knee Pain – Consider a Medial Meniscus Posterior Horn Root Tear
Meniscus Root Tear The medial meniscus or inner shock absorber of the knee has attachment in the front (anterior horn) and the back (posterior horn). The posterior horn or root can tear as a result of degeneration or trauma. This typical presentation include: Sudden onset of severe knee pain. Does not improve with pain killers. … Read more
SLAP Tear Causing Shoulder Pain | Diagnosis & Treatment
A SLAP tear is a cause of shoulder pain. The the long head of your biceps tendon goes inside the shoulder joint and joins with the glenoid labrum (shoulder cartilage) in the top of the shoulder. A SLAP tear refers to a tear or avulsion of this attachment of the long head of biceps tendon’s … Read more
An Uncommon Cause of Knee Locking – Pigmented Villonodular Synovitis (PVNS)
PVNS or pigmented villonodular synovitis is an uncommon condition that I see from time to time. This is a benign tumour involving the inner lining of a joint. I treat about 3 to 4 such cases each year. Although it can affect any joint in the body, the most common joint with this problem that … Read more
Shoulder Pain from Repetitive Overhead Sports – Shoulder Impingement Syndrome
Shoulder pain with overhead activities in a person above 45 can be from impingement syndrome. This is a condition where the top of the arm bone (humeral head) rubs against a bony spur under the overhanging bone called the acromion. The acromion is part of the shoulder blade. It can affect someone who does a … Read more
