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Orthopaedic trauma

Tendon and Nerve Injuries

OVERVIEW

Tendons and nerves play crucial roles in the function of the musculoskeletal system. Tendons are fibrous tissues that connect muscles to bones, facilitating movement, while nerves transmit signals between the brain and muscles, enabling coordinated actions. Injuries to these structures can result from trauma, overuse, or degenerative processes, affecting mobility and causing pain.

Types of tendon and nerve injuries:

Tendon injuries encompass a spectrum ranging from strains and partial tears to complete ruptures. Common examples include Achilles tendonitis, rotator cuff tears, and tennis elbow. Nerve injuries, on the other hand, can manifest as compression syndromes (such as carpal tunnel syndrome), traumatic injuries, or conditions like sciatica.

Causes:

Tendon injuries often stem from overexertion, repetitive motion, sudden trauma, or degenerative changes associated with ageing. Nerve injuries may result from direct trauma, compression, inflammation, or underlying medical conditions. Dr du Plessis employs his extensive knowledge to discern the root cause of each patient's injury, ensuring a targeted and effective treatment plan.

SYMPTOMS
Recognizing the symptoms of tendon and nerve injuries is crucial for timely intervention. Common indicators include pain, swelling, reduced range of motion, weakness, tingling, or numbness. Dr du Plessis employs a comprehensive diagnostic approach, combining clinical evaluation, imaging studies, and nerve conduction tests to accurately diagnose the nature and severity of the injury.
TREATMENT
Conservative treatment

Dr du Plessis emphasizes a personalized and conservative approach whenever feasible. Non-surgical interventions may include physical therapy, anti-inflammatory medications, bracing, and lifestyle modifications. Through tailored rehabilitation plans, patients often experience significant relief and functional improvement.
SURGERY
In cases where conservative measures fall short or when injuries are severe, surgical intervention becomes imperative. Dr du Plessis utilizes cutting-edge surgical techniques, ensuring minimal invasiveness and optimal outcomes. Surgical options range from tendon repairs and transfers to nerve decompression procedures guided by the specific nature of the injury.

FAQ

Can tendon injuries be prevented in athletes and active individuals?
Yes, preventive measures such as proper warm-ups, stretching, and conditioning exercises can help reduce the risk of tendon injuries in athletes and active individuals. Dr du Plessis provides guidance on injury prevention strategies tailored to individual lifestyles and activities.
How soon should I seek medical attention for a suspected tendon or nerve injury?
It's advisable to seek medical attention promptly if you suspect a tendon or nerve injury. Early intervention can lead to more effective and conservative treatment options. Schedule a consultation with Dr Jason du Plessis for a comprehensive evaluation and personalized care.
Can nerve injuries cause long-term damage?
In some cases, untreated or severe nerve injuries may lead to long-term damage. Early diagnosis and intervention are crucial to prevent potential complications. Dr du Plessis employs a comprehensive approach to managing nerve injuries, aiming to minimize long-term impact.

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    PUBLICATIONS

    Assessment of the Reliability and Reproducibility of the Langenskiöld
    Classification in Blount’s Disease

    DU PLESSIS J, Firth GB, Robertson A. Assessment of the reliability and reproducibility of the Langenskiöld classification in Blount's disease. Journal of Pediatric orthopedics. Part B. 2019 Nov 12.

     

    The Impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg

    Foster M, Du Plessis J, Jansen van Vuuren M, Jingo M, Pietrzak JR. The impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg. SA Orthopaedic Journal. 2022;21(2):70-5.

    Short term results following two stage revision for periprosthetic joint infection

    DU PLESSIS, J et al. Short-term results following two-stage revision for periprosthetic joint infection. South African Orthopaedic Journal, [S.l.], v. 19, n. 2, p. 64-69, may 2020

     

    Comparison of visual estimations of distal radius fracture radiographic parameters between different levels of orthopaedic doctors.

    Naidoo V, Milner B, du Plessis J. SA Orthop J. 2025;24(1):26-31. http://dx.doi.org/10.17159/2309-8309/2025/v24n1a4