Centre for Sports

& Shoulder

& Elbow Surgery

Most Common Sports Injuries

Dealing with sports injuries also means dealing with the multiple fractures that are often sustained during sports and play. Dr. Yegappan has vast experience dealing with fractures of the upper and lower limb. These injuries are treated immediately to ensure that patients recover as quickly as possible.   

Sports, Shoulders & Elbow Surgery

Shoulder Pain

Shoulder pain is common. In the younger age group it can be due to dislocations and labral tears from falls and sports injuries. In cases where the dislocations are recurrent surgery to address the problem is actually very gratifying as the success rates are high and patient scan go back to their activities.

Sports, Shoulders & Elbow Surgery

Knee Injury

Common signs of serious Knee Injury includes: Pain on the knee joint when bearing body weight, Visible swelling, bruising or redness at the joint, Instability of the knee, and Restricted range of movement

Sports, Shoulders & Elbow Surgery

ACL Tear or Strain

The ACL stands for the anterior cruciate ligament and is one of the major stabilisation ligaments of the knee. Injury of the ACL often occurs when a person suddenly slows down and tries to change directions. The result is swelling and instability while walking.

Sports, Shoulders & Elbow Surgery

Sport Injuries

Sports injuries are vast. There are becoming more common with an educated and sport loving population. Obviously sports injuries can involve all parts of the musculoskeletal system. Although the acute injuries are the ones that usually catch the eye the most common ones are the chronic and repetitive injuries of the joints and soft tissue. These can affect the performance of the athlete and take away the joy of exercise.

Sports, Shoulders & Elbow Surgery

Rotator Cuff

A rotator cuff tear is typically caused by one of two things – these are either degeneration or injury. A degenerative tear refers to general wear and tear of the muscles that make up your rotator cuff over time. A degenerative tear in one arm often leads to a tear in the unaffected arm. Factors such as repetitive stress, a reduced blood supply (which occurs with age), and bone overgrowth (bone spurs) may all contribute to a degenerative rotator cuff tear.

Sports, Shoulders & Elbow Surgery

Elbow Pain

Elbow pain is common in the population. The most common causes include lateral epicondylitis (tennis elbow) and medial epicondylitis (golfer’s elbow). These are usually repetitive injuries and be a nagging issue for the patient. Treatment is usually with physical therapy and medications. Non-surgical options will always be considered first, in case of more severe injuries that require surgery. Dr. Yegappan is well-trained in minimally invasive techniques for lower risk & faster recovery

Dr. Yegappan Muthukaruppan

Consultant Orthopaedic Surgeon
Specialist in Orthopaedic Sports Medicine

Dr. Yegappan is an experienced sports surgeon with many years of experience in treating sportsmen. He performs cartilage reconstructions, ligament reconstruction and meniscal repairs in the knee.

Senior Consultant Orthopaedic Surgeon

Sports Orthopaedic Surgeon

Dr. Yegappan graduated from the National University of Singapore School of Medicine in 1992 and is currently a Senior Consultant Orthopaedic Surgeon practicing at Mount Elizabeth Novena Hospital and Parkway East Hospital, Singapore. He is a specialist in Orthopaedic Sports Medicine and does mainly arthroscopic reconstructive surgery of the knee and shoulder.

He completed his orthopaedic training in Singapore and did his Sports Medicine Fellowship at the Methodist Sports Medicine Centre in Indianapolis, USA from 2002 to 2003. As a sports medicine specialist and orthopedic surgeon he deals mostly with sports injuries in patient’s young and old. He has a keen interest in post surgical rehabilitation and his aim to return patient’s to their previous level of activity whenever possible.

Knee injuries and shoulder injuries are the most common injuries treated by Dr. Yegappan. Most of the procedures can be done arthroscopically and this aids in patient recovery. Ligaments reconstructions, meniscal repairs and cartilage reconstructive procedures in the knee are common procedures done by him. In addition to arthroscopic shoulder reconstructions he also performs shoulder replacements.

Common Sports injuries and joint problems

Our Treatments

Dr. Yegappan provides prompt and comprehensive consultations and surgical care for a variety of sports injuries and joint problems. Some of these conditions include:

  • Knee meniscus, ligament and cartilage injuries
  • Kneecap (patella) instability and pain
  • Tendinitis and muscle injuries around the knee and lower limb
  • Shoulder instability and dislocations
  • Rotator cuff tendon tears of the shoulder
  • Shoulder biceps conditions
  • Elbow instability and dislocations
  • Elbow stiffness and contractures
  • Tendinitis around the elbow – Tennis Elbow, Golfer’s Elbow
  • Hip labral tears and femoro-acetabular impingement
  • Tendon and muscle issues around the hip
  • Ankle sport injuries including sprains, instability and tendinitis
  • Arthritis/Degenerative conditions of the knee, shoulder, hip and elbow
  • Fractures of the knee, shoulder, hip and elbow

We utilize the approved techniques in the treatment of these common conditions and complex conditions. We perform most of these surgeries through key-hole or arthroscopic techniques to minimize pain and downtime from sport, for the athlete or patient.

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Shoulder pain should never be taken lightly. Our shoulders are used in the simplest of everyday activities, such as wearing our clothes, washing our hair or even just reaching above our heads. However, they can be injured during our everyday actions or exercise.

As such, you should seek medical attention when you are experiencing any of the following:

  • Pain or swelling that lasts more than 48 hours
  • Loss of range-of-motion in your shoulder
  • Instability or weakness when carrying loads
  • Inability to wear your clothes without assistance
  • Any obvious deformity in your shoulder
  • Experiencing a fever, in addition to redness, pain and swelling in your shoulder

Contrary to popular belief, you do not need a referral to see an Orthopaedic doctor. Most patients make an appointment with Dr Yegappan when they feel pain and cannot perform everyday activities such as working, playing sports and showering. If your pain is chronic and prolonged, it is highly advisable to see Dr Yegappan for a detailed diagnosis.

Oftentimes, pain is our body’s way of telling us that something is not right. Dr Yegappan always advises his patients to listen to their bodies as pushing through the pain barrier can result in aggravated injuries. If your pain does not subside with RICE (rest, ice, compression and elevation), it is highly advisable that you seek professional medical advice. Injuries are best treated on the onset of pain; any additional strain can worsen the condition and delay your recovery.

X-rays and MRI scans are useful if Dr Yegappan suspects that you may have a bone or soft tissue (e.g. tendons, ligaments, cartilage) injury. Such imaging scans are vital to providing information for an accurate diagnosis.

This depends on your condition and the type of treatment that you decide to undertake. In the event of a serious bone injury, immediate surgery may be beneficial to relieve pain and aid in recovery.

For less severe injuries, non-surgical treatments such as physiotherapy and splints will be recommended.

Rest assure that Dr Yegappan will go through all suitable options with you and advise you on your possible steps. Regardless of your treatment option, Dr Yegappan will be with you every step of the way.

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FAQs

If I see an orthopaedic surgeon, will he or she recommend surgery generally?

Surgery is usually the last resort when other treatments have failed. Your orthopaedic surgeon will generally recommend non-operative therapies to improve and cure your condition. However if such therapies do not work after a period of observation, then in those situations, surgery may be recommended to cure the condition and prevent it from worsening.

Minimally invasive bunion surgery is essentially a skillset your surgeon possesses to perform an operation for bunions using small incisions instead of the traditional approach with a standard incision. These new techniques offer better early postoperative pain control, lesser chances of wound infection, less joint stiffness and as such early mobility and faster rehabilitation. The procedures are day surgery procedures and patients can be discharged the same day with advice on follow-up and dressing changes.

Arthroscopic surgery which is also known as keyhole surgery is the use of small incisions over a joint to perform selective surgical procedures in the joint with the aid of a camera (arthroscope) within the joint with other small instruments. Many therapies can be conducted using this method and in several joints including the wrist, elbow, shoulder, knee, hip and ankle joints. Generally these procedures are considered minimally invasive and patients benefit postoperatively with less joint stiffness and faster rehabilitation as compared to open joint procedures. Only certain joint conditions are suitable for arthroscopic surgery though and your surgeon will advise you on this.

There is usually a gap beneath the inner part of the foot when a person stands, as the arch raises off the ground slightly. In people with flat feet or a very low arch, this gap is diminished or sometimes not present. Other tell-tale signs of flat feet will be noticing the wearing out of the soles of the shoe on the inside aspect. Also footprints in the sand or when out of the shower, may show the presence of an imprint on the inside of the foot. ( In patients with a normal arch, this imprint is not present) Most patients with flat feet do not have symptoms but other conditions can develop together with flat feet such as tight calf muscles and also tendon degeneration on the inside of the foot generally known posterior tibial tendinopathy. It is always wise to have flat feet assessed and to prevent it from getting worse and the development of symptoms.

A sprain is an injury that damages a ligament while a fracture on the other hand is when the bone has broken. Your orthopaedic surgeon will conduct tests such as x-rays and or MRI or CT scans to determine for certain how badly the ligament is injured or to study a fracture more closely. Sprains generally heal with time and rest and a good rehabilitation program, but a fracture will require some type of treatment including splint, cast, crutches, and even surgery.

If you have any foot and ankle injury and pain, it’s important to have them examined to find out the diagnosis of the condition(s) causing pain. Sometimes these issues tend to get worse if left alone without proper treatment. While some conditions can be corrected by foot and ankle strengthening exercises, stretching exercises or changing the kind of shoes that you wear, other issues can be more complex, requiring special knowledge and training to properly treat them.

In addition to physical examination by your orthopaedic surgeon, most orthopaedic injuries or conditions require the use of imaging and radiology tests like x-rays, bone scans, computerized tomography (CT), magnetic resonance imaging (MRI) or ultrasound. All these tests are not invasive or painful.

There is no one-size-fits-all answer for deciding when to have surgery. Key considerations include whether you are in pain, you are experiencing instability or decreased mobility, and whether the injury or condition is affecting your overall quality of life.

Age is hardly a problem for surgery as long as you are in reasonable health and have the desire to continue to live an active and mobile life. You will undergo rigorous tests to ensure that you are suitable for surgery.

Foot and ankle surgery is a specialised area of surgery where every patient is different with unique needs and goals. Before the surgery, your orthopaedic surgeon will discuss with you in detail to ascertain the best course of treatment. After the surgery, you will need to follow your doctor’s instructions, perform appropriate exercises and modify your activities to ensure a smooth and quick recovery.

The goal of surgery is to restore function and get you back to full mobility without pain. However depending on the type of surgery, there is usually downtime and some limitations. You should have a candid discussion with your orthopaedic surgeon regarding realistic expectations after surgery.

Our clinics accept all patients, with or without insurance plans. In addition, we are on the specialist panels of several insurance providers. If your insurance provider is not listed here, we can still attend to you as you may be eligible for coverage. Please feel free to contact us and our team will be happy to assist you in the process of checking with your insurance provider.

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Our Clinics

Mount Elizabeth Novena Specialist Centre
BUS SERVICE AVAILABLE

5, 54, 143, 162, 162M, 167

MRT Station

Novena MRT

Parkway East Medical Centre
BUS SERVICE AVAILABLE

15, 33, 155

MRT Station

Eunos MRT