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  • Treatment of Tennis Elbow
    sports Most often are exacerbated during the backhand stroke Grip size Too large or more commonly too small Cause muscle imbalance and greater stress on the wrist and elbow Repetitive motion with improper technique or with equipment with less than optimal grip size Signs Symptoms Tenderness on resisted contraction Wrist extensors Tenderness on palpation Treatment Rest the joint Pain Killers Short term benefit from oral NSAIDS Topical NSAIDS better than

    Original URL path: http://sog.sg/treatment-of-tennis-elbow (2014-05-06)
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  • Little Leaguer’s Elbow
    Leaguer s Elbow What is Little Leaguer s Elbow It is an over use injury Little Leaguers elbow has come to encompass all of the stress changes involved in youth pitching It is the syndrome of overuse injuries involving the flexor tendons of the wrist as they originate at the elbow and the triceps as they insert at the elbow It is related to the repeated trauma of pitching and this stress is greatly increased by throwing curve balls and other breaking pitches which require more forceful pronation of the wrist Symptoms Symptoms of Little Leaguers elbow include pain and tenderness at the bony prominence on the inside and back of the elbow Pain increases with forceful throwing or gripping It is important to recognize this condition early since adequate rest from repeated stresses may allow resolution of the problems Surgery 90 95 of patients respond to conservative measures and do not require surgical intervention Many different techniques described Release of tendon from lateral epicondyle elbow attachment Treatment Rest the affected arm until the pain subsides Physical therapy Loose body Arthroscopic surgery may be necessary Fracture splint or surgery Incidences decreased and prevented by attention to flexibility length of time

    Original URL path: http://sog.sg/little-leaguers-elbow (2014-05-06)
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  • LUCL of Elbow Reconstruction
    originates from the lateral epicondyle and terminates indistinguishably in the annular ligament which stabilizes the proximal radioulnar joint The LUCL originates from the lateral epicondyle blending with fibers from the annular ligament but arching superficial and distal to it This ligament is the primary restraint to varus stress and is deficient in posterolateral rotatory instability of the joint Injury to the LUCL causes Posterolateral Rotatory Instability of the Elbow Posterolateral rotatory instability of the elbow is a three dimensional displacement pattern of abnormal external rotatory subluxation of the ulna coupled with valgus displacement on the humeral trochlea This pattern causes the forearm bones to displace into external rotation and valgus during flexion of the elbow Injury to the lateral ulnar collateral ligament allows abnormal supination of the ulna on the humerus The radial head being locked in the sigmoid radial notch of the proximal ulna by the annular ligament subluxates posterior to the capitellum The abnormality is usually posttraumatic and presents with locking snapping clicking catching and recurrent dislocation of the elbow What the Patient Experiences Abnormal clunk or locking of the elbow with certain activities Apprehension when trying to get up from a chair using the arms to lift

    Original URL path: http://sog.sg/lucl-of-elbow-reconstruction (2014-05-06)
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  • Distal Biceps Tendon Tears
    keep the elbow bent The biceps muscle contracts extra hard to help handle the load As tension on the muscle and tendon increases the distal biceps tendon snaps or tears where it connects to the radius Symptoms When it occurs it usually sounds and feels like a pop directly in front of the elbow The immediate pain is intense The pain often subsides quickly after a complete rupture because tension

    Original URL path: http://sog.sg/distal-biceps-tendon-tears (2014-05-06)
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  • Elbow Osteoarthritis
    Links Contact Us Elbow Osteoarthritis Elbow Osteoarthritis Elbow is stiff and painful There is usually loss of full elbow extension as well as loss of full elbow flexion The problem usually did not occur suddenly but had been getting worse gradually over a long period of time Patients usually give a history of using the involved upper limb in heavy exertional work or play e g heavy lifting in body

    Original URL path: http://sog.sg/elbow-osteoarthritis (2014-05-06)
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  • SOG
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    Original URL path: http://sog.sg/component/mailto/?tmpl=component&link=aHR0cDovL3NvZy5zZy9vdXItc2VydmljZXMvd3Jpc3Q%3D (2014-05-06)
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  • Wrist Arthroscopy for TFCC Tear
    Novena Enquiry Links Contact Us Wrist Arthroscopy for TFCC Tear 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 and rotates the wrist instead of the bit Distraction force applied to the volar forearm or wrist Distal radius fractures Symptoms of TFCC Tear Ulnar sided i e little finger side wrist pain Associated with clicking Clinical Signs Painful grinding or clicking with wrist range of motion ROM Weakness Ulnar deviation of the wrist with the forearm in neutral produces ulnar wrist pain and occasional clicking Perform a TFCC compression test Instability of the distal radioulnar joint DRUJ with shucking the distal radius and ulna between the examiner s fingers Piano key sign which is a prominent and ballottable distal ulna with full pronation of the forearm Ulnar carpal sag Lunotriquetral LT interval tenderness Positive LT ballottement or shuck test ECU tendon subluxation Treatment Wrist arthroscopy Done under General Anaesthesia 2 Small Incisions at the Wrist level Minimally invasive Post operative Rehabilitation

    Original URL path: http://sog.sg/wrist-arthroscopy-for-tfcc-tear (2014-05-06)
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  • SOG
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    Original URL path: http://sog.sg/component/mailto/?tmpl=component&link=aHR0cDovL3NvZy5zZy9vdXItc2VydmljZXMvaGlw (2014-05-06)
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