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
Regaining Ability to Walk after a Periprosthetic Fracture of the Knee
An elderly lady presented with severe pain, deformity and swelling of her right knee after a fall when she slipped on a wet floor. She was not able to stand or walk. She has a history of right knee osteoarthritis with a total knee replacement done more than 20 years ago. She was able to … Continue reading
Avascular Necrosis of the Knee Joint | Role of a Partial Knee Replacement
What is Avascular Necrosis of the Knee? Avascular necrosis is a disease resulting from the temporary or permanent loss of blood supply to the bones. Without blood, the bone tissue dies, and ultimately the bone may collapse. If the process involves the bones near a joint, it often leads to collapse of the joint surface. … Continue reading
Ingrown Toe Nail
Ingrown Toenails Onychocryptosis, also known as unguis incarnates, or ingrown toenail is a common form of nail disease. An ingrown toenail is a common condition in which the corner or side of one of your toenails grows into the soft flesh of the toe. Normal toenail growth should be vertical or outward toward the tip of … Continue reading
Hip Arthroscopy for Septic Hip | Bacterial Infection of the Hip Joint in Children
Septic Hip refers to a bacterial infection within the hip joint. It can occur in newborn infants to older children. It can sometimes be due to fungal infection. How Did the Hip Get Infected? The joint can become infected with germs that travel through the bloodstream from another part of the body e.g. a skin … Continue reading
Cut Extensor Tendon to the Big Toe – Surgical Repair
Extensor Hallucis Longus Tendon – This is the tendon to the big toe that allows the big toe to extend. There are often patients who sustain minor lacerations to the top of the foot due to falling broken glass, knifes, or other sharp objects. The laceration may look innocuous but it may have cut through … 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
Avascular Necrosis of the Hip Joint | Treatment with Total Hip Replacement
What is Avascular Necrosis (AVN) of the Hip? Bones are living tissue, and like all living tissue they rely on blood vessels to bring blood to keep them alive. When disease or injury prevents the blood supply from flowing freely to a bone, cells in the bone begin to die. As the bone withers, the surrounding … Continue reading
An Enlarging Lump in the Finger | Tumour of the Finger | Giant Cell Tumour of The Phalanx
Tumour of the Finger A taxi driver presented with an enlarging lump over his right ring finger. He tells me that this lump has been present for many years but recently has become bigger and occasionally painful. X-rays showed an expansile bony tumour of the proximal phalanx of the right ring finger. Possible Cause of … Continue reading
HC Chang Orthopaedic Surgery | Singapore 