Radial Head Replacement

Radial Head Fractures Radial head fractures are among the most common elbow fractures occurring in up to 20% of all elbow injuries. 30% have associated soft tissue or other bony injuries e..g. ulnar fractures Mechanism of injury Radial head fractures occur because of:     fall on outstretched hand     forearm in pronated position     axial … 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

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 … 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

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

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