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Category Archives: Hand & Wrist

Tennis Elbow - steroid injection or not?
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Tennis Elbow – steroid injection or not?

Tennis elbow, or lateral epicondylitis, is a painful condition of the elbow caused by overuse. Many people ask why they have this when they don't even play tennis! Because it is an overuse condition, it can be brought on by many different actions, ranging from repetitive exercise, lifting at work or at home. Some occupations are at a higher risk such as plumbers, carpenters and painters. With regards to tennis, forceful groundstrokes where the wrist is held still against an extended elbow ... Read More
August 24, 2016 By Jai Sungaran in , , , , ,
Can your joints predict the weather?
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Can your joints predict the weather?

There's an old wives' tale that claims some people can predict storms almost before the weatherman does. Many patients say that they can feel the cold or an upcoming storm in their bones and joints. This can either be in an old injury or scar, or after surgery such as fracture fixation or joint replacement. But is there any scientific basis to these claims? Bones are covered in a layer called periosteum. This is a thin layer of tissue containing nerve endings. The periosteum is the reason ... Read More
June 18, 2016 By Jai Sungaran in ,
Fractures of the 5th metacarpal neck (Boxer
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Fractures of the 5th metacarpal neck (Boxer’s fractures)

The current issue of Essential Surgical Techniques from JBJS (Am) have an excellent article on the surgical treatment of 5th metacarpal fractures. Even though the majority of these fractures  can be managed without surgery, there are those which are too displaced or angulated. If there is significant shortening or angulation the long term consequences for the patient may be minimised with the use of this less invasive technique of intramedullary pinning. This technique is practiced widely by ... Read More
June 5, 2016 By Jai Sungaran in

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