Sports and Medicine

Biceps partial tear

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Mon, 04 Jul 2011 21:45:52 PDT

A bodybuilder felt a snap in his biceps muscle while doing his upper body workout in the gym. He immediately felt a sharp pain and weakness in the arm adjacent to the elbow. He discontinued his training session for the day. A day after the incident, he could not extend his elbow fully and had pain at the myotendinous junction of the biceps muscle. The was a noticeable defect in the muscle

2011 Prohibited List (mobile) - World Anti-Doping Agency

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Mon, 28 Feb 2011 19:14:05 PST

2011 Prohibited List (mobile) - World Anti-Doping Agency has been available since 1st September 2010. Both athletes and coaches should be aware of the various subtances prohibited by sports which could still be inadvertently used by some ignorant medical personnel, personal trainers and nutritionists. One should also be aware of Therapeutic Use Exemption and Monitoring Programme. ADAMS continue

Slipping Rib Syndrome (12th Rib Syndrome)

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Sun, 26 Dec 2010 04:49:09 PST

This basketballer suffered from loin pain at the tip of the Right 12th rib and along the 11th intercostal space after feeling at 'pull' during competition. The pain persisted despite taking oral NSAIDS but reduced slightly with ice application. Similar injuries have been seen previously in martial arts, dancers, boxers and swimmers. We ruled out fracture by clinical examination and X-rays and

Plantar Fascia Rupture

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Mon, 20 Dec 2010 00:59:07 PST

This gentleman suddenly felt a snap followed by sharp pain in the hindfoot (medial tubercle of calcaneus) while playing badminton. He could only place his weight on his forefoot and had to use a pair of crutches to walk. He was diagnosed with a partially ruptured plantar aponeurosis and told to use a pair of running shoes with a silicone gel pad. However, he was not allowed to bear weight due

Singapore 2010 Youth Olympic Games

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Sun, 15 Aug 2010 18:19:15 PDT

The Singapore 2010 Youth Olympic Games will be held on the 14 August 2010 - 26 August 2010 in 17 competition venues in Singapore. Participants: 3,600 young athletes between 14 - 18 years of age, 5,000 young athletes and officials. The organisational aspect: 205 National Olympic Committees, 1,200 media representatives, 20,000 local and international volunteers and 370,000 spectators. Highlights:

National Basketball League 2010

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Fri, 13 Aug 2010 02:21:59 PDT

Here are some photos of basketball injuries taken by the press (Lim Chee Sen) during the National Basketball league 2010. Most of the tournament was covered by St John's Ambulance or Red Crescent volunteers with ambulances on standby for emergencies. Another player twisted his ankle after accidentally tripping over another player's foot. He was back to play the semifinals after vigorous

Muay Thai thumb sprain

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Sun, 20 Jun 2010 07:05:29 PDT

An elite Muay Thai fighter came with a swollen and painful thumb after hurting his thumb when he accidentally hit the side the head of his opponent during a professional bout. Treated it aggressively with RICE therapy, electrotherapy and rehabilitation exercises and he returned to fight again in 2 weeks duration. He had a protective taping for the fight and managed well.

Jelajah Malaysia 2010

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Mon, 24 May 2010 08:36:19 PDT

Some photos from the national road race competition from the 27th April 2010 to the 1st May 2010 from Kuala Selangor to Kuala Perlis. Thanks to a relatively good weather, skillful riding, good recovery preparations and well coordinated road safety by marshalls, commissaires and police, we had a safe journey during the competition. There were no serious injuries.

Rt 5th finger sprain

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Sat, 10 Apr 2010 07:47:06 PDT

A junior rubgy player came after competition with a painful Rt 5th finger. He had pain at the side of the Metacarpo-phalangeal joint after feeling a sharp pain and loss of power after 'losing grip' of an opponent's shirt. He suffered from torn collateral ligament and would benefit from buddy taping or splinting over the next 4 to 6 weeks.

Extensor Digitorum tenosynovitis

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Mon, 05 Apr 2010 23:02:38 PDT

A guitarist came with complaints of left wrist pain and swelling a few days ago. She had been training vigourously and held the 'chords' with the fingers (left hand) and subsequently did her biceps and triceps curls using dumbbells. Soon after the episode she started having pain and noticed 'fullness' in the back (dorsum) of her wrist.She was advised to do RICE treatment and apply the

Hydrotherapy after competition

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Sat, 12 Dec 2009 23:05:51 PST

A few photos from the team workout in a swimming pool after competition. It included slow jogging (forwards and sideways), hig knee jogging, striding, jump and rotate drills. This is often a useful training session for recovery and relaxation. Variations of this exercise may be useful for rehabilitation of lower limb injuries.

Salomon X-Trail Run 2009

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Wed, 13 Jan 2010 07:24:59 PST

Here are some photos from the Salomon X-trail Run 2009 event which drew a crowd of 900 entries from all walks of life. Congratulations to the event organisers. There was supply of water for rehydration and orange cuts too. The Gardenia van was also there to provide tasty buns for immediate carbohydrate intake for recovery. The photos show the RICE treatment that comes in really useful for

ACL Rupture - Joint Aspiration

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Fri, 20 Nov 2009 16:13:20 PST

Photos taken from a karatedo athlete who twisted his knee during competition. Note that the aspirate always consist of blood. He also complains of his knee 'giving-way' and locking.

Finger Dislocation

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Fri, 20 Nov 2009 16:01:04 PST

This is the photo of a basketball player who dislocated left 5th finger. The finger was immediately rediced easily by the coach. He subsequently used RICE treatment which reduced the symptoms. He taped the finger to prevent a recurrence but refused further examination.

2nd Malaysian International Basketball Championships 7-10 October 2009

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Tue, 06 Oct 2009 02:05:09 PDT

The 2nd Malaysian International Basketball Championships would be held at MABA from the 7-11 October 2009. This competition involves men (Korea, Hongkong, Philipines, Chinese Taipei, Malaysia, China) and women (Chinese Taipei, Singapore, Malaysia, China) teams from 7 Asian nations. More details may be obtained from the MABA website or the official MIBC website.

1ST MALAYSIA INTERNATIONAL ICE HOCKEY TOURNAMENT 2009

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Thu, 27 Aug 2009 19:32:09 PDT

There's an exciting adrenaline pumping Ice-Hockey International event coming up this weekend. Paramedics and doctors volunteers are wanted during the whole tournament. Date: Sept 2-5 (Wednesday to Saturday)Time: Sept 2 :8pm to midnight Sept 3 & 4 :8am to midnight Sept 5 :8am to 7pmVenue: Sunway Pyramid Ice RinkEstimated number of players: 180-200Players' ages: 5-50Organizer:

Subcutaneous hematoma in distal part of left leg

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Fri, 29 May 2009 23:05:50 PDT

A 10 months old toddler was brought by his mother yesterday with a painful lump in the distal part of her left leg. She apparently fell 4 days earlier but his mother noticed the swelling only after 2 days when she was attending to her. She was still able to hobble from one end of the table to the other end while hanging on to the sides. She only grimaced slightly when we examined the swelling. We

Right 1st metatarsalgia in Ballet dancer

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Sun, 17 May 2009 22:24:31 PDT

A young lady in her (28 yrs old) came to see me with chronic pain (3 yrs) in the Right big toe. The pain would worsen with repetitive jumping and landing during ballet and modern contemporary dance. Despite getting better shoes, she still seemed to suffer from the pain. Her toes was also 'crowding' in her shoes with the big toe moving towards the 2nd toe (Hallux valgus). She had tenderness at

Ankle lateral ligament sprain

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Fri, 06 Mar 2009 22:13:55 PST

Supracondylar fracture of Humerus?

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Fri, 30 Jan 2009 05:57:53 PST

Here's 2 photos of a male patient in his 30's who had a fracture to his left elbow (believed to be supracondylar) when he was 4 yrs old. He was treated by a traditional healer but was not given the option of modern medicine. He has some physical deformity but is able to carry out manual work without any difficulty. He is happily engaged to his female companion who doesn't seem to mind the

When you know you have a Torn ACL? (Part II)

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Mon, 19 Jan 2009 08:28:43 PST

Here's what happens when he tells me that the previous video wasn't clear enough for some to visualise the laxity.

When you know you have a Torn ACL?

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Mon, 19 Jan 2009 08:29:27 PST

Here's how a soccer player demonstrates his loose ACL ligament 'without moving a limb'.

Tibialis Anterior Ganglion Cyst

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Fri, 06 Feb 2009 20:23:35 PST

Here's a photo of one of the recreational badminton athlete who found that he had a small swelling at the ankle. Upon examination, I found a 2cm X 2cm cystic swelling just before the insertion of the Tibialis Anterior tendon. An ultrasound scan should be done to confirm the findings.Usually, the cyst is treated conservatively with a corticosteroid injection. Care should be taken to ensure that

Left Teres Minor strain (Grade II)

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Wed, 31 Dec 2008 04:50:15 PST

A wushu ex-elite athlete came with complaints of pain and weakness in his left shoulder after landing awkwardly with his arm hyperextended during training yesterday. He could only lift (abduction) his left arm with much difficulty above the level of his shoulder. He would feel more pain as he lifts his arm further. Upon examination, I found that he had difficulty rotating his arm outwards (

Bad Ankle Contusion after hit by hockey stick

noreply@blogger.com (Dr Aston Ngai Seng Huey) — Fri, 30 Jan 2009 05:47:58 PST

In the midst of an important hockey match, one of my players had a hard hit by the follow-through of the hockey stick by an opposing player. The burly defender hit the ground at an instant holding onto his ankle and the umpire immediately signalled me to run in to evacuate the player. There was a large soft swelling (2cm X 3cm X 8cm) on the outer (lateral) aspect of his left ankle which looked