Understanding Synovial Tumors: Symptoms, Treatment, and Prognosis
Synovial tumor Hello, I would like to ask about my condition. I started experiencing severe pain in my knee in 1999 due to something getting stuck inside. X-rays showed normal results. By 2000, I began to have swelling, and the fluid extracted was bloody. After undergoing arthros...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question... based on your description, you are most likely suffering from pigmented villonodular synovitis (PVNS), which is a benign tumor characterized by a tendency to recur. Pathologically, it may be derived from fibroblasts or macrophages, and the l...[Read More] Understanding Synovial Tumors: Symptoms, Treatment, and Prognosis
Understanding Osteomalacia: Symptoms, Diagnosis, and Treatment Options
Questions about osteomalacia? In the past two weeks, I visited the orthopedic department at Hualien Tzu Chi Hospital, and after an X-ray examination, it was diagnosed that I might have osteomalacia. I am unsure about the implications of this condition. The hospital only increased...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question... I am not sure if you are referring to patellar chondromalacia. Generally speaking, if the knee joint experiences pain due to patellar chondromalacia, you may have difficulty squatting or experience pain when going down stairs. Additionally, ...[Read More] Understanding Osteomalacia: Symptoms, Diagnosis, and Treatment Options
Best Orthopedic Centers Near Yuanlin for ACL Injury Consultation
Please ask your question? Hello Dr. Lee. I have torn my posterior cruciate ligament (as diagnosed by an orthopedic surgeon at a small hospital who assessed it visually). However, I do not want to undergo surgery there. Could you please tell me which medical center is closest to Y...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question... most cases of isolated posterior cruciate ligament (PCL) tears do not require surgery. I suggest you seek additional opinions. Near Yuanlin, there is the Changhua Hospital, which is a public hospital located near the Yuanlin interchange, and...[Read More] Best Orthopedic Centers Near Yuanlin for ACL Injury Consultation
Understanding Knee Surgery Options: Insights on Recovery and Rehabilitation
I'm sorry Dr. Li: Thank you for your detailed response to my questions. I have already gone for a consultation at the Veterans General Hospital with Dr. Ma. He used a patellar tendon graft and informed me that this method is stronger, but the recovery time is longer, and the...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your questions... 1. During arthroscopic surgery, the condition of the meniscus can be clearly assessed, and if possible, it can be addressed simultaneously (for example, partial tears can be treated with partial meniscectomy). 2. You should currently be wea...[Read More] Understanding Knee Surgery Options: Insights on Recovery and Rehabilitation
Understanding Persistent Wrist Pain: Causes and Solutions
Wrist pain issues? Hello, I am currently working in a delivery job where I have to lift various items daily. My hand has been uncomfortable since around June of last year when I accidentally dropped something while lifting it and tried to catch it with my hand. Since then, I have...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question... The pain in the wrist partially originates from the bones, but most issues stem from ligament problems. For example, there is a complex group of triangular fibrocartilage ligaments at the distal radioulnar joint, and ligaments surround the c...[Read More] Understanding Persistent Wrist Pain: Causes and Solutions
Can Deformed Fingers Heal? Understanding Treatment Options for Finger Injuries
Finger deformity Hello Doctor, I am 15 years old and in the second year of junior high school. A couple of years ago, my right index finger was bent to the left by a classmate, causing significant swelling in the middle joint of the finger, and the bone above that joint has shift...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question... Given the current situation, there is still swelling in the proximal interphalangeal joint of your right middle finger. Generally speaking, if an injury occurred a long time ago and there is still swelling present, there is a high possibilit...[Read More] Can Deformed Fingers Heal? Understanding Treatment Options for Finger Injuries
Understanding ACL Reconstruction Surgery: Key Questions Answered
Anterior cruciate ligament reconstruction surgery Hello Dr. Li, I injured my right knee while playing basketball. I have undergone X-rays and an MRI, and the sports medicine doctor has diagnosed me with a torn anterior cruciate ligament (ACL) and a torn medial collateral ligament...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question... Based on your description, if you have a rupture of the anterior cruciate ligament (ACL) and a rupture of the medial collateral ligament (MCL) in your right knee, the following treatment considerations should be prioritized: 1. First and f...[Read More] Understanding ACL Reconstruction Surgery: Key Questions Answered
Can My Heel Be Reconstructed After a Severe Fracture?
Is it possible to reconstruct? Hello Dr. Yang, I recently had a car accident that resulted in a comminuted fracture of my right heel, meaning I no longer have a heel bone or tendons. I would like to know if there are any alternatives or options to reconstruct my heel. Thank you...
Dr. Li Wenlin reply Orthopedics
Hello, A-Wei: In response to your question... If there is indeed no heel and no tendons, this represents a significant soft tissue defect. It would prevent the foot from making contact with the ground, bearing weight, and performing downward pressure movements, which means normal...[Read More] Can My Heel Be Reconstructed After a Severe Fracture?
Understanding Short and Long Legs: Risks of Surgery and Aftermath
Leg length discrepancy? Hello, Dr. Lee! Thank you very much for your response to my previous question. However, you mentioned that due to my history of osteomyelitis, you personally do not recommend surgical intervention (does this mean my life is over?). You indicated that the r...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question... the frightening sequelae... mainly include several points: 1. Nerve injury: The most concerning issue with limb lengthening is the potential for nerve injury due to the stretching of nerves. If the limb is lengthened but there is no sensatio...[Read More] Understanding Short and Long Legs: Risks of Surgery and Aftermath
From Car Accident to Limb Length Discrepancy: Seeking Solutions
The car accident resulted in a leg length discrepancy? Hello Dr. Lee: Three years ago, I had a car accident that resulted in an open and comminuted fracture of my right femur (the bone shattered into several pieces). I was hospitalized for two weeks and then discharged, but three...
Dr. Li Wenlin reply Orthopedics
Hello A-Ding, In response to your question... the treatment of osteomyelitis is not easy. Although there is a three-centimeter difference in the length of your legs, I would like to congratulate you on overcoming the issue of osteomyelitis. Despite the long duration and the suff...[Read More] From Car Accident to Limb Length Discrepancy: Seeking Solutions
Swollen Toe Joint: Causes, Symptoms, and Treatment Options
The joint of the little toe is swollen..? Hello, my little toe joint is swollen, and the toe is slightly crooked. I initially thought it was just a callus from walking too much, so I didn't pay much attention to it. However, it has been about six months, and there has been n...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question... Based on your description, this is not hallux valgus, but your fourth toe is painful. If there is no history of trauma, it is mostly caused by footwear, especially if you are wearing pointed shoes. If the issue is footwear-related, avoiding ...[Read More] Swollen Toe Joint: Causes, Symptoms, and Treatment Options
Post-Surgery Care and Nutrition for Complex Leg Fractures
Complex fractures of the leg! My father recently suffered a complex (comminuted) fracture of the tibia and ankle due to a fall at work. He is currently undergoing treatment, and I would like to understand how to provide proper postoperative care and nutritional support for patien...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question about fracture healing, there are several factors to consider: 1. Mechanism of injury: Comminuted, high-energy, periarticular, and open fractures generally have a poorer healing outcome compared to simple fractures. 2. Individual factors: O...[Read More] Post-Surgery Care and Nutrition for Complex Leg Fractures
Unexplained Indentation on Right Thigh: Numbness and Concerns Explained
A horizontal indentation unexpectedly appeared on the right thigh muscle, followed by a sensation of numbness two weeks later? Hello Doctor: About two weeks ago, a horizontal indentation approximately ten centimeters long and two to three centimeters wide appeared on the mid-ante...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, arranging for an MRI is the right decision. Please do not worry; it is a highly diagnostic examination for bones and soft tissues. I believe it will lead to an early diagnosis and prompt treatment.[Read More] Unexplained Indentation on Right Thigh: Numbness and Concerns Explained
Understanding Osteoarthritis: Pain Management Beyond Steroids and Topicals
Osteoarthritis Hello Dr. Li: My mother is 48 years old and frequently experiences joint pain in her legs. She has been diagnosed with osteoarthritis, and the doctor prescribed pain relievers for her. However, she believes that pain relievers are equivalent to steroids, so she has...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question... The treatment for degenerative arthritis includes the following options: 1. Pain relief and anti-inflammatory medications: Modern medications have made significant advancements. Orthopedic doctors prescribe non-steroidal anti-inflammatory ...[Read More] Understanding Osteoarthritis: Pain Management Beyond Steroids and Topicals
Will Treatment for Congenital Hip Dislocation Cause Limb Length Discrepancy?
Will children with congenital hip dislocation still have leg length discrepancy after treatment? Dr. Li: Hello! During my child's health check at birth, a left hip dislocation was detected due to being in a breech position, which necessitated a cesarean section. He is curren...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, based on your description, addressing each of your concerns individually may not fully satisfy you. I have two suggestions. First, since your child has already received treatment, if you have any doubts, please return to the original treating ...[Read More] Will Treatment for Congenital Hip Dislocation Cause Limb Length Discrepancy?
Post-Cast Care: What to Expect After Removing Your Cast
What should be noted when removing a cast? Hello Dr. Li: Since childhood, I have had an inward-turned foot while walking. Recently, I accidentally injured my foot, and the top of my foot became swollen with a purplish-black bruise. The doctor said that there is a fracture in the ...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, bone healing typically requires at least eight to twelve weeks (about two to three months). There is an old saying, "It takes a hundred days to heal muscles and bones," which serves as an example. Based on your description, it is acc...[Read More] Post-Cast Care: What to Expect After Removing Your Cast
Understanding Thigh Muscle Atrophy: Causes, Symptoms, and Treatment Options
Thigh muscle atrophy Hello, Dr. Li! This condition has been present since my birth. To describe it briefly, I have surgical scars on both sides of my thighs, each approximately fifteen centimeters long (I had surgery when I was one year old). Additionally, my right thigh is small...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, it is unclear what the diagnosis and surgery were when you underwent surgery at the age of one. Additionally, it cannot be immediately determined whether your current condition is related to the previous surgery. I recommend that you return to...[Read More] Understanding Thigh Muscle Atrophy: Causes, Symptoms, and Treatment Options
Effective Treatments for Elbow Joint Stiffness After Fracture
Elbow joint stiffness? Hello Director Li, I apologize for disturbing you. You experienced a car accident on March 8, 2003, which resulted in a comminuted fracture of the ulnar bone in your left elbow. After an emergency surgery, internal fixation was performed using steel pins, w...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, there are several treatment options for nonunion fractures: First, electrical stimulation, which is currently used infrequently and may not always be effective. Second, ultrasound stimulation, with various manufacturers offering both large and...[Read More] Effective Treatments for Elbow Joint Stiffness After Fracture
Understanding the Small White Spot on Your X-Ray: Possible Causes
The small white spots on an X-ray? Recently, I have been experiencing some pain in the inner side of my left calf. I went to the hospital for a consultation, and after an X-ray, the doctor mentioned that there is a small white spot on the bone of my left calf. The doctor advised ...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, based on your description, the small white spot on the left tibia of a 34-year-old male may not be concerning. It is most likely a bone island, which is an area of increased bone density, or it could be an artifact from overlapping images or o...[Read More] Understanding the Small White Spot on Your X-Ray: Possible Causes
Understanding Knee Bumps: Pain, Treatment, and Future Risks
Regarding a knee injury, after a few months, a lump has developed internally... (continued) Dr. Li, I would like to ask you: This small protrusion under the skin sometimes hurts and sometimes is not painful at all (when it is not protruding, there is no sensation; however, it alm...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, it is quite difficult to determine the issue based on your description. I recommend that you visit the orthopedic department at Far Eastern Memorial Hospital in Banqiao for the quickest and most accurate diagnosis. If you are unsure which phys...[Read More] Understanding Knee Bumps: Pain, Treatment, and Future Risks