Sports Injury: Fracture
Hello, doctor.
I have consulted two orthopedic specialists and would like to ask a few questions.
I play baseball and basketball, and I previously injured my shoulder while pitching, which was not caused by an external impact.
After resting, I have no issues with daily activities, but I still experience pain when pitching at certain angles.
An orthopedic doctor examined my shoulder with ultrasound and found that the bone has a depression and is uneven.
The doctor diagnosed it as a type of fracture and advised me to apply heat at home.
Additionally, I have a finger issue.
While playing basketball, my index finger was hit by the ball, commonly referred to as "jammed." After a long period of rest, I noticed pain and am unable to curl it fully as I used to, and there is a visible crack.
The orthopedic doctor also said this is a fracture and recommended heat therapy.
Furthermore, since childhood, I have a bone protrusion located below the kneecap and above the tibia.
This bone does not move and does not cause problems in daily life, but I experience severe pain when kneeling.
The doctor mentioned that surgery could be an option but did not provide detailed information about the surgery duration or the recovery time for returning to normal walking.
I would like to ask the doctor if the fractures in my shoulder and finger can heal completely.
What is the nature of the issue with my knee? Thank you, doctor.
Xiao Zhang, 20~29 year old female. Ask Date: 2008/09/11
Dr. Hong Ximing reply Orthopedics
Hello, Xiao Zhang: Regarding your shoulder, you should go to a medical center for a detailed examination using magnetic resonance imaging (MRI) to diagnose whether there is any damage to the cartilage or tendons.
Typically, a finger injury from eating dried radish can recover within two weeks, but if there is tendon damage, a thorough examination is necessary.
As for the tibial tuberosity below the kneecap, it is caused by an unhealed bone plate, which can be ignored, but you should avoid putting pressure on it (such as kneeling).
Surgical removal would require 6-8 weeks for recovery before returning to daily activities.
Wishing you a speedy recovery.
Reply Date: 2008/09/11
More Info
Understanding sports injuries, particularly fractures in the shoulder, finger, and knee, is crucial for athletes and active individuals. Your situation involves multiple injuries, each requiring careful consideration and management.
Shoulder Injury
From your description, it seems that you have sustained a shoulder injury that has resulted in a fracture or some form of bone irregularity. The fact that you experience pain at specific angles during throwing suggests that there may be underlying issues such as impingement or rotator cuff problems, in addition to the fracture. The irregularity in the bone could indicate a previous injury that has not healed properly or a stress fracture, which is common in athletes who engage in repetitive overhead activities like baseball.
Recovery Potential: Generally, fractures in the shoulder can heal with appropriate rest and rehabilitation. However, if there is significant damage to the surrounding soft tissues (like tendons or ligaments), or if the bone irregularity is severe, you may require more intensive treatment, such as physical therapy or even surgery. It’s essential to follow up with an orthopedic specialist who can provide a detailed assessment, possibly through MRI, to evaluate the soft tissue structures and determine the best course of action.
Finger Injury
Your finger injury, commonly referred to as "jammed" or "turf toe," can lead to a fracture in the phalanges (the bones in your fingers). The inability to fully flex your finger and the presence of pain suggest that there may be a fracture or damage to the ligaments surrounding the joint.
Recovery Potential: Most finger fractures heal well with conservative treatment, including rest, ice, and possibly splinting. The healing time can vary but typically ranges from a few weeks to a couple of months, depending on the severity of the fracture. If there is significant ligament damage or if the fracture is displaced, surgical intervention may be necessary. Regular follow-ups with your healthcare provider are crucial to monitor healing and regain full function.
Knee Injury
The issue with your knee, particularly the bony prominence below the kneecap, could be related to a condition known as Osgood-Schlatter disease, especially if you have had this issue since childhood. This condition is characterized by inflammation of the patellar tendon at the tibial tuberosity and can cause pain during activities like kneeling or jumping.
Surgical Consideration: If your doctor has suggested surgery, it may be to remove a bony growth or to address a more complex issue, such as a persistent pain that does not respond to conservative treatment. The recovery time post-surgery can vary significantly based on the procedure performed, but typically, you might expect a rehabilitation period of 6-8 weeks before returning to normal activities.
Conclusion
In summary, while fractures in the shoulder and finger can heal with proper care, the knee issue may require more investigation and possibly surgical intervention. It’s essential to adhere to your doctor's recommendations, including any prescribed physical therapy, to ensure optimal recovery.
Additionally, managing pain and anxiety related to these injuries is important. Consider discussing your concerns with a healthcare professional who can provide strategies for coping with pain and anxiety, which may include physical therapy, counseling, or relaxation techniques. Remember, recovery takes time, and being patient with your body is key to returning to your favorite sports activities safely.
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