A virtual workshop conducted by Dr Khong Kok Sun and Dr Winston Chew
The moderator of this online workshop will be Ms. Susan Quek from BioEsque Medical (Business Manager, SEA).
a) Conditions affecting the knees are becoming ever more common today. In the past, such people were young and presented with sporting injuries. Whilst this group continue to seek consultation, we are seeing even more numbers of those who are middle-aged and even elderly, ie over the age of sixty-five. In this latter group, it was quite easy previously to advise them to “slow down” or “do less exercise”, but today the elderly are encouraged to do just the opposite in order to retain their muscle mass, balance and mobility. Hence there is a need to ensure a rapid return to pre-condition function. Intra-articular injections today are in the form of anti-inflammatory agents or joint viscosupplement agents. In acute painful joint conditions or synovial swelling steroids like triamcinolone are commonly given. When there is evidence of cartilage degeneration, then high-molecular weight hyaluronic acid may ameliorate articular forces by lowering the coefficient of shear friction between surfaces. While these may not be curative, they are simple part-solutions to tide the patient while other forms of treatment like physiotherapy begin to work.
b) Osteoarthritis of the thumb basal joint is a common condition among middle-aged active individuals. It affects many activities of daily living and work. Early stages of osteoarthritis is amenable to conservative treatment with a hand based thumb spica brace, supplemented with either steroid or viscosupplementation injection.
This virtual workshop will cover the principles of thumb carpometacarpal joint osteoarthritis treatment with a focus on the technique of the injection of viscosupplementation agent. In view of the current Safe Management Measures, this workshop will be conducted online.
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