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

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 … Continue reading

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 … Continue reading

Percutaneous Vertebroplasty for Painful Osteoporotic Compression Fractures of the Spine

Osteoporosis is a silent disease. Most sufferers do not know they have osteoporosis until they sustain a fragility fracture. This usually occurs with a minor fall which should not result in a fracture for a person with normal bone density. For those whose bone density is low, it may result in a fracture of the … Continue reading

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 … Continue reading

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 … Continue reading

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 … Continue reading

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 … Continue reading

Adult Acquired Painful Flat Foot – Posterior Tibial Tendon Dysfunction (PTTD)

Adult Acquired Painful Flat Foot Have you noticed that the medial arch of your foot is becoming flatter when you walk? You may be developing adult acquired flat foot. This condition is typically caused by a problem with a tendon on the medial side of your foot called the Posterior Tibial Tendon that is not … Continue reading

Loose Body of the Knee Joint

Loose Bodies of the Knee Joint What Are Loose Bodies? Loose bodies are fragments of bone and/or cartilage that freely floats inside the knee joint. What Are the Symptoms? Symptoms include: Locking or jamming of the knee Pain Swelling Intermittent catching of the knee How to Diagnose? X-rays can sometimes show the bony fragment in … Continue reading