Injuries to the rotator cuff tendons in the shoulder can significantly impair the ability to lift the arm away from the body, causing pain and difficulty in performing daily tasks. When these tendons are severely torn, the anterior deltoid muscle steps in to compensate for the loss of function. This
Dupuytren’s disease is a condition affecting the palmar fascia of the hand, the connective tissue beneath the skin in the palm and fingers. It ranges from small lumps or bands to thick bands, causing fingers to curl into the palm, commonly affecting the little and ring fingers and sometimes the
Post-Surgery Exercises for Dupuytren’s Contracture Read More »
Welcome to the world of scapular stabilisation and rotator cuff strengthening exercises! The scapula, known as the shoulder blade, serves as the crucial foundation for the shoulder joint and facilitates all upper extremity movements. Its stability is paramount in maintaining optimal shoulder function and preventing various upper quadrant syndromes, including
Scapular stabilisation and rotator cuff strengthening Read More »
DEFINITION Extensor carpi ulnaris (ECU) subluxation occurs when the separate subsheath of the sixth dorsal compartment is torn or attenuated. This results in the ECU tendon moving out of its groove in the ulna, often causing a painful click during resisted supination, ulnar deviation, and mild palmar flexion. ANATOMY The
Definition A triceps tendon rupture occurs when the tendon tears or avulses from its insertion point on the olecranon, resulting in difficulty or inability to extend the elbow against gravity or resistance. Complete ruptures involving all three heads of the triceps tendon (long, lateral, and medial) typically require surgical intervention.
Definition Medial epicondylitis, often referred to as golfer’s elbow, involves tendinosis at the origin of the flexor-pronator mass. Despite its name, this condition is more commonly associated with racquet sports and manual labor. Anatomy The common flexor-pronator origin is located primarily on the anterior aspect of the medial epicondyle. It
Open Treatment of Medial Epicondylitis (Golfer’s Elbow) Read More »
Definition Lateral epicondylitis, commonly known as tennis elbow, involves tendinosis at the origin of the common wrist extensors. A more accurate term is lateral elbow tendinopathy, reflecting the condition’s degenerative nature. Anatomy The common extensor origin is located on the lateral epicondyle of the humerus. This origin includes the extensor
Open and Arthroscopic Treatment of Lateral Epicondylitis (Tennis Elbow) Read More »
Definition Distal radioulnar joint (DRUJ) instability can be acute or chronic, unidirectional (volar or dorsal) or bidirectional, and isolated or associated with other injuries. Clinically significant instability is often identified by increased anteroposterior translation of the DRUJ with passive manipulation compared to the normal side. DRUJ dislocation or instability is
Definition The Triangular Fibrocartilage Complex (TFCC) is a crucial structure on the ulnar side of the wrist with several important roles: Extending the gliding surface of the radiocarpal joint Cushioning and stabilizing the ulnar carpus Stabilizing the distal radioulnar joint (DRUJ) Injuries to the TFCC can cause ulnar-sided wrist pain,
Arthroscopic and Open Triangular Fibrocartilage Complex Repair Read More »
Definition An Essex-Lopresti injury, or longitudinal radioulnar dissociation (LRUD), occurs when a violent compressive load to the wrist results in a triad of injuries: disruption of the distal radioulnar joint (DRUJ), tear of the interosseous ligament complex (IOLC), and fracture of the radial head. Anatomy Pathogenesis Natural History Patient History
Reconstruction for Interosseous Ligament Disruption Read More »
What is Ulnar Collateral Ligament (UCL) Reconstruction? UCL reconstruction is a surgical procedure to repair the ulnar collateral ligament, a key stabiliser on the inner side of the elbow. This ligament is crucial for elbow stability, particularly in athletes who perform overhead motions. The surgery primarily focuses on reconstructing the
Ulnar Collateral Ligament Reconstruction of the Elbow Read More »
What is Lateral Collateral Ligament (LCL) Reconstruction? Lateral collateral ligament (LCL) reconstruction is a surgical procedure aimed at repairing or reconstructing the LCL complex of the elbow. This ligament is crucial for maintaining elbow stability, particularly in preventing posterolateral rotatory instability (PLRI). LCL injuries often occur after significant elbow trauma,
Lateral Collateral Ligament Reconstruction of the Elbow Read More »
