HC Chang Orthopaedic Clinic & Surgery and Sports Medicine, Singapore

"Best in Singapore" - Patients like to Google "best Orthopaedic Surgeon in Singapore" or "best Sports Surgeon Singapore". But the websites that appear in their searches are engineered to direct you to a few doctors who are always listed in these websites as being best. Just read this email which I received. It doesn't explain why you are the best. You are listed in their website as the best as long as you help their SEO. Those already listed in their website are probably paid clients. Beware. Do your research properly.

Anterior knee pain due to patella cartilage tears can potentially be treated with arthroscopic surgery.

This is a video of how I repair painful kneecap due to cartilage tear using Bone Marrow Aspirate Concentrate (BMAC).

BMAC Repair of Patella Cartilage Defect Bone marrow aspirate concentrate (BMAC) is used to repair the cartilage lesion in the patella.This technique does not require microfracture. Chang #...

Radial tears of the medial meniscus if not repaired will result in premature accelerated knee osteoarthritis of the medial knee compartment. A repair of the radial tear should be attempted if possible. https://orthopaedicsports.com/2022/05/26/repair-of-radial-tear-of-medial-meniscus/

Join us at 9pm 12th May 2022 to learn more about knee osteoarthritis treatments.

明天我们邀请张浩昌医生来与大家分享有关膝关节置换术的问题？让大家了解膝关节在什么时候应该考虑做手术

Dr Chang Haw Chong is an orthopaedic surgeon practising at Gleneagles Hospital and Mount Elizabeth Novena Hospital, Singapore. He specialises in orthopaedic sports medicine.

Stay tuned on FB Live at 9pm Thurs

A good insight into the accelerated rehabilitation of a professional football player's ankle fracture dislocation treatment. The anti-gravity threadmill machine is available in Singapore.

https://www.squawka.com/en/harvey-elliott-injury-recovery-technology/?fbclid=IwAR3eAgMGy0ILmuL0MS43wRmAkhJLs7sgE_Tf4-xjgMY0kle-vEb8HH2UMk4

Explained: How Harvey Elliott is using NASA technology to expedite his recovery from ankle injury Liverpool midfielder Harvey Elliott recently provided an insight into his rehabilitation from the ankle injury suffered against Leeds last month.

🆕 Published in | State of the art review

▶️ Isolated meniscus injuries in skeletally immature children and adolescents

ℹ️ Read more in: http://ow.ly/hpTn50Gp4dd

Pre-Patellar Bursitis -

Analysing Alisson Becker's Shoulder Injury- What could he have suffered from? Acromio-clavicular Joint Injury is a common injury in goalkeepers as they tend to jump and land on the tip of the shoulder.

Horizontal cleavage tear (HCT) of meniscus - how it can be treated with repair rather than resection.

https://orthopaedicsports.com/2021/07/01/treatment-of-horizontal-cleavage-tears-of-meniscus-with-meniscal-cyst/
https://orthopaedicsports.com/2021/07/01/treatment-of-horizontal-cleavage-tears-of-meniscus-with-meniscal-cyst/

Horizontal Cleavage Tear (HCT) of Meniscus with Meniscal Cyst A patient consulted me for a lump over the outer aspect of his right knee associated with pain with sports as well as deep flexion of that knee. Examination of his right knee showed a cystic swelli…

Join me on a virtual talk on "Common Knee Injuries" and "Treatment of Knee Osteoarthritis" on 30th June 2021. Registration is free but closes on 28th June 2021.

For more information on this event -> https://www.esgwellness.com/events/orthopaedics-knee-injuries/

direct link to register ->
https://share.hsforms.com/1NU6r_MAJQp6r8aInMwrrbg3izrw

Alisson Becker's Shoulder Injury

Liverpool's goalkeeper Alisson sustained the issue in training ahead of the trip to Villa Park – and Klopp expects the No.1 to require further assessment beyond the international break to come.

“Yesterday an incident in training, very unlucky – two players clash with each other, one gets up, one doesn’t. The one who didn’t get up was Ali,” the boss told Sky Sports pre-match.

What type of injury could Alisson have sustained?

Acromio-clavicular Joint Injury

This is a common injury in goalkeepers as they tend to jump and land on the tip of the shoulder. This is a joint above the shoulder joint. The injury can range from a simple joint sprain involving the joint capsule to a frank dislocation of the joint.

The symptoms include a painful swelling of this joint with difficulty lifting the involved shoulder overhead.

In a dislocation, there could be a prominence of the distal end of the collar bone (clavicle) tenting up the skin.

The various types of ACJ injuries are classified from Type I to Type VI.

The common ones are type I to III.

Type I and Type II injuries are usually treated symptomatically and with physiotherapy. Surgeries are generally not needed. These injuries do take a few weeks to heal. Hence Alisson might have sustained a type I or II injury to his ACJ.

Type III injuries may require surgery to reduce the joint. In these cases, the patient may take up to 3 months to recover. Alisson is unlikely to have a Type III injury as the Boss mentioned up to 6 weeks to recover.

Shoulder Labral Tear

The other injury to consider is a tear of the shoulder labrum.

The shoulder joint is a ball and socket joint. The ball is large while the socket is small and shallow. This allows excellent range of motions in the shoulder joint but also pre-disposes this joint to dislocations. The rim of the shoulder socket (glenoid) has a fibro-cartilage attached to it. This is called the glenoid labrum.

The glenoid labrum is typically torn at the antero-inferior attachment of the socket in frank anterior dislocation of the shoulder joint. Anterior dislocation is the commonest type of shoulder dislocation.

In some shoulder injuries especially involving falling onto the shoulder – the labrum can tear due to transient subluxation of the shoulder joint at the time of the fall. The shoulder did not dislocate but it shifted slightly out of position and popped back in. This can result in a labral tear.

The labral tear can result in acute pain and instability symptoms.

It can subsequently be a source of pain during movements or loading of the shoulder joint.

An MRI scan of the shoulder joint is needed to make this diagnosis.

Some patients may require keyhole surgery to repair the torn labrum.

He will likely have gotten an MRI of his injured shoulder and the results will likely determine the course of his season. Hopefully Alisson did not sustain this injury.