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Orthopaedic & Sports
Orthopedics is a medical specialty that focuses on the diagnosis, correction, prevention, and treatment of patients with skeletal deformities - disorders of the bones, joints, muscles, ligaments, tendons, nerves and skin. These elements make up the musculoskeletal system. Your body's musculoskeletal system is a complex system of bones, joints, ligaments, tendons, muscles and nerves and allows you to move, work and be active. Once devoted to the care of children with spine and limb deformities, orthopedics now cares for patients of all ages, from newborns with clubfeet, to young athletes requiring arthroscopic surgery, to older people with arthritis. The physicians who specialize in this area are called orthopedic surgeons or orthopedists.
Orthopaedic & Sports
Our community is for discussions relating to orthopaedics. Topics of discussion include, but are not limited to - back pain, neck and shoulder pain, sports injury, tennis elbows, and knee or hip replacements.
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  2. Its a difficult problem. Cartilage is the holy grail of orthopaedics - it has no regenerative capacity and once damaged, is almost always progressive. We  proactively diagnose cartilage defects and treat them to try and slow down progressive worsening, damage elsewhere to the joint and of course reduce pain and swelling caused by cartilage damage. 

    Dr Gowreeson
    Dr. Gowreeson T
    Space Doctor
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  4. Hi

    It is common to lose range of the shoulder or the neck (cervical spine) after a sprain injury due to muscular spasm, pain or tightness. 

    It will be advisable to have an orthopaedic surgeon evaluate you by way of clinical examination to ascertain if the problem is with the shoulder or the cervical spine. The loss of strength and inability to raise your arm above shoulder level seems to point to a rotator cuff injury. If there was a suspicion of rotator cuff injury or tear, or a slipped disc of the cervical spine, a MRI scan of the affected region would be highly recommended. 

    These issues can be addressed with analgesia and physiotherapy. If the scans reveal a rotator cuff tear or a significant nerve compression from a slipped disc - only then is surgery advised. 
    Dr. Ramesh S
    Space Doctor
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  6. It's been 3 years since the surgery. If there is pain and crepitus, you should get an Xray and MRI of the wrist to evaluate the current situation. 
    Dr. Ramesh S
    Space Doctor
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  8. Hi Jsmum,
    Thanks for sharing this interesting case. Lesser toe deformities in children can be quite common as they grow. Deviation of the toe is usually referred to as curly toe deformities and typically get better as the child grows and wears more closed shoes. Of course, it is important to exclude other causes like a local growth pushing the toe out or a fracture. If the pain from rubbing on the deviated toe is causing more pain, I would suggest consultation with a foot & ankle specialist. 
    Dr. Gowreeson T
    Space Doctor
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  10. Dear @leonida_hegmann There appears to be a displaced fracture of the right clavicle. You should have a discussion with the orthopedics surgeon managing your mother and discuss surgical and non surgical options. You can check with them how long her recovery is likely to take and optimise her sugar control before, during and after surgery. Hope this helps.
    Dr. Yan Y T
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  14. Dear Rach

    I would suggest getting an Xray of the elbow to rule out a fracture or any possible dislocation. It's not uncommon to have a fracture of the elbow when there is axial loading post fall from a bicycle. Especially since your range of movement is limited, I am concerned about any possible bleeding into the joint and swelling that could arise from a fracture or dislocation or ligament tear. 

    It would be recommended to see an orthopaedic surgeon to do a detailed examination of the elbow and evaluate with Xrays or even possibly a MRI scan.
    Dr. Ramesh S
    Space Doctor
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  16. Hi @edgar this is something that needs to be examined! Have you had an injury to the coccyx before, such as a high impact fall directly landing in a seated position on the floor? Mild-moderate Scoliosis itself is not expected to contribute to such symptoms - I recommend that you visit your GP/family physician for a more in-depth review and examination to get to the bottom of this issue.
    Dr. Dinesh G
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  18. Hello, it’s not that uncommon to have a bony avulsion fragment from the fibula, like in your ankle. It’s still controversial what’s the best thing to do with the fragment, and this can vary from removal to leaving it alone and just focusing on repairing the ligament. When there’s not enough good quality tissue to work with, yes an augmentation is useful. This can be in the form of a tendon, or a synthetic internal brace device has also become quite popular. How “common” it is to have inadequate tissues can be quite subjective depending on the judgement of the surgeon but usually it is better to augment the repair when in doubt. 
    Dr. Ken J T