Understanding the Differences Between Hematomas and Ganglion Cysts in Orthopedics
Hematoma and tenosynovial cyst? Hello, Doctor: May I ask about the differences between a hematoma and a ganglion cyst? Aside from the fact that the former is caused by blood and the latter by mucus, what other differences exist? Both are swellings caused by fluid in the body, so ...
Dr. Chen Yongxue reply Orthopedics
Hello, may I ask: What are the differences between a hematoma and a ganglion cyst, aside from the fact that the former is caused by blood and the latter by mucin? What are the fundamental differences? A hematoma is caused by trauma, lacks a surrounding sheath, can be resolved by ...[Read More] Understanding the Differences Between Hematomas and Ganglion Cysts in Orthopedics
Can Finger Joint Dislocation Be Treated Effectively?
Finger joint dislocation In childhood, the little finger was suddenly pulled by a curtain, causing a slight dislocation of the distal joint. Visually, the distal phalanx of the little finger is displaced towards the middle finger, but there are no other abnormalities. The rehabil...
Dr. Chen Yongxue reply Orthopedics
Hello, finger injuries should be addressed immediately for the best outcome. If the deformity has persisted for more than three weeks, it often cannot be corrected. If the deformity affects daily life, surgical correction may be necessary, which could lead to joint stiffness as a...[Read More] Can Finger Joint Dislocation Be Treated Effectively?
Concerns About Skull Shape and Size: Seeking Medical Insights
Skull issues Hello, doctor. I recently noticed that my forehead is particularly slanted and my brow ridge is prominent. I'm wondering if the strong impacts to my forehead during the first and second grades of elementary school could have led to poor development or a flattene...
Dr. Chen Yongxue reply Orthopedics
Hello, regardless of the cause, as long as the protective functions of the brain tissue are intact, there is no need to worry.[Read More] Concerns About Skull Shape and Size: Seeking Medical Insights
Understanding Pain After Vertebroplasty: Causes and Solutions
Vertebroplasty with bone cement? 1. Yes, it is possible for bone cement to not fully coalesce and remain in separate pieces. This can occur due to various factors, including the technique used during the procedure, the quality of the bone, or the presence of osteoporosis, which m...
Dr. Chen Yongxue reply Orthopedics
Hello, 1. The bone cement should be a single mass; it is rarely divided into two pieces. 2. The cause of the pain should be identified, such as through palpation; it should not rely solely on X-ray examination. If the pain is due to inflammation of the muscles adjacent to the spi...[Read More] Understanding Pain After Vertebroplasty: Causes and Solutions
Post-Surgery Insights on Jaw Bone Tumor: Recurrence and Recovery
Postoperative care for bone tumors? Hello, doctor. I underwent a mandible osteoma resection in early January this year, and the pathology report states: "The section shows skeletal muscle and sclerotic bony trabeculi." Can you tell me if this indicates that the tumor is...
Dr. Chen Yongxue reply Orthopedics
Hello, the pathology report mentioned in your letter is incomplete. It only states that there are muscle and bone trabeculae in the specimen. To determine whether it is benign, please consult your attending physician. After the surgery, please monitor for any pain and temporary f...[Read More] Post-Surgery Insights on Jaw Bone Tumor: Recurrence and Recovery
Understanding Ankle Tendon Tears: Recovery, Rehabilitation, and Pain Management
Ligament tear injury Six months ago, I had an accident that injured my ankle, and since then, walking has become increasingly painful. I consulted an orthopedic doctor who informed me that I have an ankle tendon tear, which may have worsened previously. It is slowly healing now, ...
Dr. Chen Yongxue reply Orthopedics
Hello, 1. Is it normal to experience increasing pain after rehabilitation? It should improve. 2. Should I wear an ankle brace while working? If your job requires frequent movement, wearing an ankle brace is advisable. 3. What is the typical recovery time for an ankle tendon...[Read More] Understanding Ankle Tendon Tears: Recovery, Rehabilitation, and Pain Management
Bone Grafting vs. Bone Cement: Which is Best After Screw Removal?
Bone grafting and bone cement? I am a scoliosis patient who had surgery eight years ago and I am considering having the screws removed. I would like to ask about the differences between bone grafting and using bone cement for filling the void left after the screws are removed, as...
Dr. Chen Yongxue reply Orthopedics
Hello, actually, there is no need for additional filler material after the removal of the metal pins. Thank you.[Read More] Bone Grafting vs. Bone Cement: Which is Best After Screw Removal?
Post-Surgery Concerns: Understanding Bumps and Indentations After Bunion Surgery
Postoperative care for hallux valgus surgery? I would like to ask the doctor, it has been over two months post-surgery, and I have consistently noticed a depression or protrusion at the surgical site, which seems to be at the osteotomy location. Pressing on it or wearing shoes ca...
Dr. Chen Yongxue reply Orthopedics
Hello, there are various surgical methods for hallux valgus. There may be some protrusions, possibly from plates or osteotomy sites. Please discuss this with your attending physician. If the condition is severe, it can be readjusted. Thank you.[Read More] Post-Surgery Concerns: Understanding Bumps and Indentations After Bunion Surgery
Can Knee Anesthesia Cause Meniscus Damage After ACL Surgery?
Will knee anesthesia and flexion cause damage to the meniscus? Hello, Doctor. I have two questions and a somewhat lengthy situation I would like you to review. Thank you for taking the time to read this. Question 1: After undergoing anterior cruciate ligament (ACL) reconstructio...
Dr. Chen Yongxue reply Orthopedics
Hello, 1. In three months, I will undergo anesthesia for a knee procedure. Will it damage the meniscus? No, during the arthroscopic surgery after anesthesia, the pressure is applied gradually, which will not harm the meniscal cartilage. 2. Can X-rays detect a small fragment ne...[Read More] Can Knee Anesthesia Cause Meniscus Damage After ACL Surgery?
Understanding Pain in the Iliac Crest: Causes and Solutions
Anterior superior iliac spine pain? Hello, doctor. Recently, I've been experiencing intermittent pain in the outermost part of my left ilium (the widest area). In the past, I would occasionally feel pain on the same side, but the frequency was low, and I didn't pay much...
Dr. Chen Yongxue reply Orthopedics
Hello, regarding the part you mentioned in your letter, the area where the tendon attaches often experiences pain due to tendonitis. Please reduce your physical activity or workload. Applying heat and massaging the affected area, as well as using some anti-inflammatory pain relie...[Read More] Understanding Pain in the Iliac Crest: Causes and Solutions
Impact of Scoliosis Surgery on Future MRI Operations for Medical Students
Inquiring about the effects after scoliosis surgery? Hello Dr. Chen, I have a 36-degree scoliosis and am experiencing severe pain and discomfort. I am considering surgical treatment. However, I would like to ask if undergoing surgery and having metal implants will affect my abi...
Dr. Chen Yongxue reply Orthopedics
A 36-degree scoliosis still has options for treatment, such as wearing a brace and other methods. It is advisable to discuss this with your attending physician. Thank you.[Read More] Impact of Scoliosis Surgery on Future MRI Operations for Medical Students
Choosing Between Steel Nails and Plates for Toe Fracture Surgery
Should a toe fracture be treated with a nail or a plate? Hello, doctor. I was in a car accident on December 4th, and the emergency department diagnosed a closed fracture at the second phalanx of my right big toe. I underwent surgery on December 5th. During my follow-up appointmen...
Dr. Chen Yongxue reply Orthopedics
Hello, toe fractures are generally not as severe as finger fractures. Typically, as long as the fracture is stabilized, it can heal properly. Usually, toe fractures rarely require self-funded plates, but it also depends on the severity of your fracture. If possible, please visit ...[Read More] Choosing Between Steel Nails and Plates for Toe Fracture Surgery
Is My Right Knee Fractured? Understanding X-Ray Results After an Accident
Is there a fracture in the right knee? Hello, doctor. I was in a car accident recently, and my right foot is swollen and painful. I had an X-ray taken, and I would appreciate it if you could help me determine if there is a fracture. My follow-up appointment is still a while away,...
Dr. Chen Yongxue reply Orthopedics
Hello, based on the X-ray, there should be no fractures. However, in rare cases, fractures may not be visible on the initial X-ray. If possible, please come to our hospital for further physical examination or to obtain X-rays taken at special angles. Thank you.[Read More] Is My Right Knee Fractured? Understanding X-Ray Results After an Accident
To Operate or Not: Navigating Fifth Metatarsal Fracture Decisions
Fifth metatarsal fracture: considering whether to undergo surgery? Your grandmother is a 75-year-old female with a history of diabetes and hypertension. She suffered a fifth metatarsal fracture in a car accident on December 10 and was treated with a cast. The physician mentioned ...
Dr. Chen Yongxue reply Orthopedics
Hello, fractures of the fifth metatarsal can often be treated conservatively unless there is significant displacement. As long as you properly follow the treatment plan, including wearing a cast and avoiding weight-bearing activities, the healing rate is quite high, so there is n...[Read More] To Operate or Not: Navigating Fifth Metatarsal Fracture Decisions
Understanding Post-Fall Pain: Do You Need X-rays for Potential Fractures?
I fell last week and hit my buttocks. It didn't hurt much at the time, but it still hasn't healed? Hello, doctor. Last week, I missed my step and fell from a height. It hurt at first, but after a moment, the pain subsided. I attended two physical education classes after...
Dr. Chen Yongxue reply Orthopedics
It is recommended to visit an orthopedic outpatient clinic for evaluation to avoid delaying treatment. Please have a family member accompany you to the appointment. Thank you.[Read More] Understanding Post-Fall Pain: Do You Need X-rays for Potential Fractures?
Managing Metatarsal Fractures: Surgical vs. Conservative Treatment Options
Metatarsal fracture of the foot? Hello Doctor, my mother was in a car accident today. The doctor diagnosed her with fractures of the second, third, and fourth metatarsals (the bones are separated) through an X-ray. The orthopedic surgeon in the emergency room recommended surgery ...
Dr. Chen Yongxue reply Orthopedics
Hello, whether a metatarsal fracture requires surgery depends on several factors, including the location of the fracture (near the joint surface or in the diaphysis), the degree of comminution, and the separation of the fracture fragments. If the fracture is near the joint surfac...[Read More] Managing Metatarsal Fractures: Surgical vs. Conservative Treatment Options
Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained
Post-operative questions regarding tibial fracture? Hello, doctor! I suffered a distal tibial fracture due to a car accident, and the surgery involved minimally invasive open reduction and internal fixation. A steel rod was inserted from the tibial plateau and secured with four s...
Dr. Chen Yongxue reply Orthopedics
Hello, based on your letter, your fracture should be at the proximal tibia rather than the distal tibia. 1. Proximal tibial fractures can range from very minor to highly comminuted, and the surgical approach and recovery can vary significantly. However, since the injury has alr...[Read More] Post-Surgery Concerns After Tibial Fracture: Pain and Limitations Explained
Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Cyst after anterior cruciate ligament reconstruction? Hello, Doctor. Last November, after school, I had an accident while riding my electric scooter and slipped on construction sand. At that time, my backpack was heavy, and I was carrying other items. I realized I was going to fa...
Dr. Chen Yongxue reply Orthopedics
Hello, PVNS is actually quite rare. To confirm the diagnosis, it is essential to rely on the pathology report. PVNS should exhibit specific characteristics in MRI imaging and arthroscopic examination, especially during arthroscopy, where very distinctive colors are observed, maki...[Read More] Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Understanding Ankle Ligament Tears: Recovery and Calcium Deposits
Ankle ligament tear? Hello Doctor: I was in a car accident at the beginning of August this year, which resulted in a Grade II tear of the ligaments on both the medial and lateral sides of my left ankle. During my follow-up appointment at the end of October, the doctor who examine...
Dr. Chen Yongxue reply Orthopedics
Hello, ankle sprains, unless they involve the bones, generally recover gradually. However, sufficient rest and appropriate rehabilitation are necessary. Ligament calcification indicates that the ligament has been injured and is a sign of the healing process. This can be disregard...[Read More] Understanding Ankle Ligament Tears: Recovery and Calcium Deposits
Chronic Ankle Pain: A Journey Through Misdiagnosis and Treatment
Ankle pain lasting over a year, with each episode of pain not exceeding one minute? The initial foot pain began over a year ago when I accidentally twisted my ankle after not noticing a pothole. Since I had a habit of treating ankle sprains with traditional Chinese medicine, I ap...
Dr. Chen Yongxue reply Orthopedics
Hello, based on your letter, it does not seem to be an issue related to autoimmune rheumatism. You should visit an orthopedic clinic for further examination. If the orthopedic evaluation shows no issues, it is recommended to see a rehabilitation specialist for further rehabilitat...[Read More] Chronic Ankle Pain: A Journey Through Misdiagnosis and Treatment