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Achilles Tendinopathy FAQs

Achilles tendinopathy refers to
diseases of the Achilles tendon,
which often caused by degenerative
problems with combination of
intrinsic and extrinsic factors. This article will focus on non-insertional Achilles tendinopathy. Non-operative treatments are often preferred over conservative treatment which echoes the histological evidence of a degenerative disease process that has poor capacity for healing.

Ankle Sprain FAQs

A sprain is a tear of a ligament.
Ligament tears can vary from very
minor - a few fibres stretched - to
complete tears of the entire
ligament. The most common type of sprain is a lateral ankle sprain, where the ligaments on the outer part of the ankle joint are sprained. The most important part of treatment for ankle sprains is physiotherapy supervised rehabilitation to restore strength and balance. Sometimes people with many years of ankle instability from an old injury that was never properly rehabilitated can recover with a good physiotherapy programme.

Breast Screening: Today

The average woman depending on her
racial ethnicity has a one in 6~9
chance of developing breast cancer
during her lifetime, based on a
life expectancy of 85 years. Nowadays, screening guidelines for breast cancer for an individual woman should take in account those with an average risk versus those with an increased risk because of familial or genetic predisposition. This is best achieved by using ‘triple assessment’, comprising imaging (usually mammography and ultrasound), clinical examination and image guided needle biopsy for histological examination where indicated.

Meniscus FAQs: Tears, Repairs & Transplants

The menisci are two rubbery
crescent moon shaped flat pieces of
cartilage in each knee. The main
purpose of the meniscus is to act
like a washer – spreading load on the articular cartilage. Because the menisci are subjected to huge forces in everyday life, the menisci can tear simply standing up from sitting or climbing a step. Before arthroscopic surgery was developed in the 1970s, the only treatment for a meniscus tear was to remove the meniscus, which will eventually develop arthritis. Now, depend on the severity, a torn meniscus can be repaired, trimmed, or replaced.

Applications of 3D Printing Technology in Lower Limb Deformity Correction Surgery

Congenital bow-legs or acquired
lower-limb deformity bring severe
impacts on one’s quality of life,
without clinical intervention, the
problem could worsen and hinder mobility significantly. The recent introduction of the application of 3D printing technology represents a major breakthrough in lower-limb deformity correction. Not only does it help in ensuring high levels of precision, it also substantially shortens hospital stay and recovery time.

Treatment of Cervical Disc Hernia or Degeneration

Cervical disc hernia with spinal
cord or nerve root compression is a
common disease. It is common
younger population including those
without special risk factors. Surgical treatment has good outcomes if conservative treatment fails. The surgical risk is not high. There are newer technology to overcome the problem of the past in reducing the surgical risk and speeding recovery. First line treatment for most cervical disc problems is pain control and physical therapies. Second line treatment includes injections and radiofrequency neurotomy. If this approach fails, or if there is significant neurological deficit, surgical treatment is appropriate.

Haemorrhoids: Management update and a word of caution

There are three cushions present in
the normal anal canal, which
contribute 10 15-20% anal closure
pressure and are important for both
flatus and faecal continence. Haemorrhoids occur when these vascular cushions become congested and swollen, and when the condition becomes severe, they can prolapsed out of the anal canal. There are various treatments to Haemorrhoids, in which stapled haemorroidopexy is commonly used nowadays.

Meniscal Regeneration By Meniscal Scaffold Implant Actifit Polyurethane Scaffold

Irreparable major meniscal tears
pose a very difficult problem in
the young and active patients who
sustain these kinds of injuries.
Arthroscopic partial meniscectomy, the most commonly used treatment option for meniscus tear creates substantial number of patients suffering the effect of a lost meniscus cartilage which is knee pain and possible degenerative joint disease in long term. It is extremely important to preserve the meniscus as much as possible to avoid degenerative knee joint progression. This article will introduce the new minimally invasive surgery in Hong Kong to regenerate the meniscus with a degradable scaffold.

Hamstring Tendinopathy FAQs

Usually patients complain of pain
in one or both buttocks after
sport. With time the pain becomes
more constant, and it often becomes
uncomfortable to sit. This article explains the diagnosis and different treatment options including surgical and non-surgical methods.

Sweaty Palms

Excessive sweating in the palms
(palmar hyperhidrosis) is a common
condition affecting about 1 to 4 %
of the population. Unfortunately
non-surgical means do not work very well, whereas open approach thoracic sympathectomy has not been popular due to its operational size and risks are high for a relatively “benign” condition. Now this surgery can be performed via a minimally invasive approach with minimal risk and successful rate is nearly 100%. There are usually two or three small wounds (2mm – 3mm) which are virtually painless.