Singapore 2010 Youth Olympic Games

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: 26 sports and culture & education programmes. You can find out who the athletes are here and keep updated with the results. Also join in the Celebration at Marina Bay.

If you are interested to get some exciting and fun-filled moments, get your tickets and be there early!

National Basketball League 2010

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 physiotherapy and rehabilitation exercises.

This player suffered from a scalp laceration after jumping over another player and suffered from a scalp laceration from the elbow of the player. He had a 2.5 cm scalp laceration which had to be sutured at a local hospital. The coach ensured that untrained personnel were not allowed to intervene until the doctor arrived to ensure that there were no cervical spine (neck) injuries.

Laceration wounds seen just adjacent to the eyebrows due to accidental elbow defensive manouvre. Apply pressure to the wound immediately with sterile gauze to control bleeding of the wound. Once the wound stops bleeding apply an adhesive plaster to hold the edges of the laceration and send the player to the doctor.



Player caught in an awkward position during a challenge by opposing player. He suffered from a lateral ligament complex ankle sprain and was duly iced to prevent swelling and reduce pain. Keep ankle elevated while icing it and ensure that he is examined by his team doctor as soon as possible.


You can read more about the event here.

Muay Thai thumb sprain

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

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

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

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 anti-inflammatory gel. She was also treated with Ultrasound therapy and isometric wrist exercises. After a few days, the symptoms subsided and she was given a step-by-step exercise program to prevent recurrence.

Read up more here.

Hydrotherapy after competition

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

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 first-aid and some wound care for abrasions suffered by some of the participants. Remember, do not ice for more than 20 minutes and use gloves if there are open wounds.

ACL Rupture - Joint Aspiration

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

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

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

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 7pm
Venue: Sunway Pyramid Ice Rink
Estimated number of players: 180-200
Players' ages: 5-50
Organizer: Malaysia Ice Hockey Federation (MIHF)
Contact person: EeLaine (012-2261048) or Dr Aston (019-2103787)

See the video of launch and join us if you love the excitement!

Subcutaneous hematoma in distal part of left leg

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 did an Ultrasound scan for her showing a cystic swelling adjacent (but separate) to the Achilles tendon. He plain X-ray of the andkle and leg was normal.

The swelling subsided significantly with RICE treatment and topical Reparil gel. Her mother was advised to continue the same treatment for another few days. She was not given any NSAIDS.

Right 1st metatarsalgia in Ballet dancer

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 the base of the right 1st metatarsal bone and moreso adjacent to the 2nd toe. Upon treatment with ultrasound she felt better and we taught her some strengthening exercises and taping. She should be feeling much better if she takes adequate precaution and implements RICE treatment when she feels sore after training.

Ankle lateral ligament sprain

Supracondylar fracture of Humerus?

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 difference.

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

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?

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

Tibialis Anterior Ganglion Cyst

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 the tendon is not damaged in the process. Surgical excision may also be carried out. However, such lesions are known to recur.

Left Teres Minor strain (Grade II)

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 (External Rotation) and lifting sideways (abduction).There was tenderness of the insertion of the teres minor muscle. He also has a lesser shoulder muscle bulk on his left and some multidirectional instability.



He was advised to continue RICE treatment for another 2 days and prescribed isometric exercises. He was also given simple exercises for the painfree range of motion while starting early proprioceptive exercises using the wall and ball. However, he was advised not to abduct his arm above the level of his shoulder initially.

He would be reviewed in 1 week to reassess his progress. An elite athlete would undergo an ultrasound scan to determine the extent of muscle strain. Clinically, he was having a Grade II strain.