1.Osteochondral lesions of the talus.
Kelvin T L CHEW ; Eileen TAY ; Yue Shuen WONG
Annals of the Academy of Medicine, Singapore 2008;37(1):63-68
Osteochondral lesions of the talus can present as a late complication of ankle injuries. As the talus is largely covered by articular cartilage, it has a limited ability for repair. Early and accurate diagnosis is important as talar integrity is required for optimal function of the ankle. The common presentation is chronic ankle pain with a history of ankle trauma. Conservative treatment involving a period of casting and non-weight-bearing is recommended for acute, non-displaced osteochondral lesions. Surgical management is recommended for unstable lesions or failed conservative management.
Humans
;
Osteochondritis
;
etiology
;
physiopathology
;
surgery
;
therapy
;
Talus
;
physiopathology
2.Clinics in diagnostic imaging (156). Golf-induced hamate hook fracture.
Hsien Khai TAN ; Nicholas CHEW ; Kelvin T L CHEW ; Wilfred C G PEH
Singapore medical journal 2014;55(10):517-quiz 521
The wrist is a common site of injury and the most frequently injured body part among professional golfers. A 37-year-old, right-handed male golfer presented with pain at the ulnar aspect of his left palm, which grew worse after an initial traumatic impact from the golf club handle. There was tenderness over the hypothenar eminence of the left palm. Computed tomography of the left wrist showed an undisplaced fracture through the base of the hamate hook. The golf-induced hamate hook fracture was managed conservatively, with cessation of physical activity involving the left hand and wrist for eight weeks. The patient made a full recovery. Repetitive trauma, exacerbated by improper wrist motion, leads to typical wrist injuries affecting golfers, such as ulnar impaction syndrome, de Quervain's disease, and tendinopathy affecting the flexor carpi ulnaris and extensor carpi ulnaris, all of which can be diagnosed on imaging.
Adult
;
Fractures, Bone
;
diagnostic imaging
;
Golf
;
injuries
;
Hamate Bone
;
diagnostic imaging
;
injuries
;
Humans
;
Male
;
Tendinopathy
;
Tomography, X-Ray Computed
;
methods
;
Wrist Injuries
;
diagnostic imaging