Horizontal Cleavage Tear (HCT) of Meniscus with Meniscal Cyst
A patient consulted me for a lump over the outer aspect of his right knee associated with pain with sports as well as deep flexion of that knee. Examination of his right knee showed a cystic swelling on the lateral aspect of his knee at the level of the lateral joint line. There was lateral … Continue reading
Surgical Treatment of Chronic Proximal Rectus Femoris Rupture
Rectus Femoris Anatomy The quadriceps muscle group is vital for athletes who participate in sports that require running, jumping and kicking. Of the four muscles that comprise this group, the rectus femoris is the most commonly strained and also has the most complex anatomy. The rectus femoris goes from the hip to the knee and can … Continue reading
Knee Pain from Osteoarthritis – Should I Go for A Total Knee Replacement?
Knee Osteoarthritis – Should I Go for a TKR (Total Knee Replacement)? Knee Osteoarthritis – It is a painful condition of the knee joint where the smooth lining (articular cartilage) of the ends of the thigh bone and shin bone forming the knee joint becomes worn out or rough. It causes stiffness, pain, swelling and … Continue reading
Tear of the Rectus Femoris Direct Head – Surgical Repair
Rectus Femoris The rectus femoris muscle is one of the four quadriceps muscles that sits in the middle of the front of the thigh. The rectus femoris attaches from the pelvis to just below the knee (on the patellar tendon.) It is responsible for knee extension and hip flexion. The other muscles of the quadriceps … Continue reading
An Injury from Doing Bench Presses | Pectoralis Major Muscle Tear
A 20 year old man was doing bench presses when he felt a painful pop in his left shoulder. He had immediate pain in his left axilla (arm pit) and could not support the 115kg weights. His coach was able to assist him when the accident happened. He was seen at the Emergency Department … Continue reading
An Injury from Doing Squats in the Gym | Vastus Lateralis Tendon Rupture
Avulsion of the Vastus Lateralis Tendon From Doing Gym Squats A rupture can in principle occur to all muscles in the thigh, however, ruptures most often happen in the anterior muscle (M quadriceps femoris) which has the function of stretching the knee and flexing the hip. The anterior thigh muscle consists of four muscles (M … Continue reading
Enhancing Cartilage Repair in the Knee Joint | Enhanced Microfracture
Cartilage Repair using Microfracture The articular cartilage of the knee joint covers the underlying bone of the knee and cushions it from shock during walking and running activities. Damage to the articular cartilage can lead to pain, swelling and eventually arthritis. Microfracture surgery is an articular cartilage repair surgical technique that works by creating tiny … Continue reading
Repair of Torn Discoid Lateral Meniscus
Discoid Lateral Meniscus – How to Repair It A lateral meniscus is an important shock absorber for the lateral compartment of the knee joint. Whilst the medial compartment of the knee joint is largely convex (femur end) and concave (tibia end) and hence conforming even in the absence of the medial meniscus, the lateral compartment … Continue reading
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 … Continue reading
HC Chang Orthopaedic Surgery | Singapore 