Understanding Lateral Collateral Ligament Injury in the Knee
Lateral collateral ligament injury? Hello doctor, a few months ago, after performing a jump shot while playing basketball, I experienced significant pain on the inner side of my left knee upon landing (the pain point is near the lateral side of the patella). A couple of days ago,...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your inquiry, based on your description, it is highly likely that you have sustained an injury to your left knee (possibly involving ligaments or other soft tissues). I recommend that you seek medical attention as soon as possible and not delay![Read More] Understanding Lateral Collateral Ligament Injury in the Knee
Does Humerus Plate Surgery Require Muscle Removal?
Does the humeral plate surgery require muscle removal? Two years ago, I had a bicycle accident that resulted in a dislocated left shoulder. An X-ray confirmed that there was a fracture in the humerus (it wasn't completely broken). After the doctor's assessment, I underw...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, a reduction surgery for a humeral fracture does not require the removal of the humeral muscle, and the physician would not intentionally do so. Your situation is most likely due to muscle atrophy resulting from the fracture and reduced use aft...[Read More] Does Humerus Plate Surgery Require Muscle Removal?
How to Confirm Complete Healing of a Fracture Before Resuming Activities
How to determine if a fracture has fully healed? I sustained a fracture on October 4, 2010, and the cast was removed on January 19 of this year. I can walk now, but I am not allowed to engage in physical activity. I would like to know how to determine if the fracture has fully he...
Dr. Li Wenlin reply Orthopedics
Hello: Since you can walk after the cast has been removed, it indicates good recovery. I recommend that you return for a follow-up appointment to have an X-ray to check if the fracture has completely healed. As for when you can resume normal activities and when you can start exer...[Read More] How to Confirm Complete Healing of a Fracture Before Resuming Activities
Understanding the Differences Between Achilles Tendonitis and Plantar Fasciitis
What is the difference between Achilles tendonitis and plantar fasciitis? What is the difference between Achilles tendonitis and plantar fasciitis? I noticed that when I got out of bed and walked, my heels were very painful. Initially, it was just one foot, but later it became bo...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, the pain associated with Achilles tendonitis is located at the back of the heel, and generally, cases of Achilles tendonitis are less common. On the other hand, the pain from plantar fasciitis is felt beneath the heel and is more prevalent in ...[Read More] Understanding the Differences Between Achilles Tendonitis and Plantar Fasciitis
Understanding Snapping Knee: Symptoms, Treatment, and Recovery Options
Frog leg or Jumping leg Hello Doctor: I previously asked about the issue of frog legs and went to the physician you recommended for an examination. After a simple check-up, the doctor believes it is not frog legs but rather snapping knee syndrome. I did some research online, and ...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, please trust the physician's advice. The diagnosis of snapping knee can be made through physical examination alone, and no additional tests are necessary. As for the size of the surgical incision, you can directly ask the surgeon. Whether...[Read More] Understanding Snapping Knee: Symptoms, Treatment, and Recovery Options
Understanding Achilles Tendon Tightness: Risks, Recovery, and Rehabilitation
Achilles tendon spasm Hello Dr. Li, my son is 11 years old and is an athlete. He has an inward foot posture and seems to drag his heels while walking. Six months ago, he started experiencing heel pain and walks like a penguin. We took him to a rehabilitation clinic where he was d...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, it is relatively uncommon for an 11-year-old boy to experience Achilles tendonitis due to intense physical activity. It may be caused by inflammation at the junction where the tendon attaches to the calcaneus, leading to pathological changes. ...[Read More] Understanding Achilles Tendon Tightness: Risks, Recovery, and Rehabilitation
Understanding Frog Legs: Orthopedic Concerns and Treatment Options
Is it frog leg? I would like to ask about the two small indentations on my buttocks. In the past, I was unable to squat with my legs together, but it seems to have improved a bit now, and I can manage to squat, although my legs become very sore, and I walk with my feet turned out...
Dr. Li Wenlin reply Orthopedics
Hello: Don't worry about your question. Frog leg syndrome (gluteal muscle spasm) is now quite rare, so there's no need for concern. I recommend that you consult Dr. Lin Liu-Chi (available on Monday and Thursday afternoons) for the best answers and treatment. Wishing you...[Read More] Understanding Frog Legs: Orthopedic Concerns and Treatment Options
Managing ACL Tears Without Surgery: A Decade of Recovery Insights
The anterior cruciate ligament (ACL) in my knee has been torn for over ten years without surgery? Hello Dr. Lee: Ten years ago, I ruptured my anterior cruciate ligament (ACL) while playing basketball. At that time, I underwent an MRI at Taipei Veterans General Hospital, which con...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, your attending physician will understand your concerns best. It is advisable for you to return to your previous medical institution to consult with your original doctor, who can assess your condition appropriately. Wishing you a speedy recover...[Read More] Managing ACL Tears Without Surgery: A Decade of Recovery Insights
Challenges in Recovery from Tibial Fracture and ACL Injury: Knee Extension Issues
Tibial shaft fracture with an intact anterior cruciate ligament injury, unable to fully extend the knee? Hello Doctor: I had a motorcycle accident on October 20 of last year, resulting in continuous swelling below my right knee, and I did not undergo surgery until November 17. My...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your questions, you can consult your attending physician in person. If you still have concerns, you may also seek advice from another orthopedic surgeon nearby. The old saying goes, "It takes a hundred days to heal injuries to muscles and bones," a...[Read More] Challenges in Recovery from Tibial Fracture and ACL Injury: Knee Extension Issues
Understanding Posterior Cruciate Ligament Tear Recovery Timeline
Tear of the posterior cruciate ligament with associated fracture? Hello, doctor. In mid-December, I sustained a torn posterior cruciate ligament (PCL) and an associated fracture due to a motorcycle accident. I underwent surgery on December 21 to fixate the fracture with screws. M...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your questions, your attending physician will have the best understanding of your specific situation. The timeline for weight-bearing after surgery, the duration for using a brace, and the adjustable angles of the brace should be guided by your attending phy...[Read More] Understanding Posterior Cruciate Ligament Tear Recovery Timeline
Surgery for Underdeveloped Left Shoulder: Can Artificial Bone Restore Function?
Left shoulder humeral head hypoplasia seeks surgery? I have developmental dysplasia of the left shoulder humeral head and am considering surgery. My arm cannot rotate normally due to the left shoulder issue. I would like to know if undergoing surgery to implant an artificial hume...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, your situation is quite unique, and I cannot ascertain your diagnosis, let alone comment on what surgery to perform. However, based on what you mentioned, you must have consulted a senior orthopedic physician who suggested surgery to improve y...[Read More] Surgery for Underdeveloped Left Shoulder: Can Artificial Bone Restore Function?
Concerns About Removing Steel Plates and Screws from Humerus Fracture
Please inquire about the removal of humeral intramedullary nails and plates? Hello Dr. Lee, I would like to briefly describe my situation. I am a 26-year-old female. In January 2010, I suffered a "humeral shaft fracture" due to a car accident. At that time, I underwent...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, there is an unwritten rule in the orthopedic field that a patient is always considered a patient for life. Moreover, since you have previously undergone surgery performed by your attending physician, and given that you chose to have a plate fi...[Read More] Concerns About Removing Steel Plates and Screws from Humerus Fracture
Understanding Intramedullary Nail Issues in Tibial Fractures
Issues with Intramedullary Nails for Tibial Fractures Hello, Director Li. About three weeks ago, I suffered a closed fracture of the tibia and fibula in the lower leg, near the ankle, affecting the lower third. I underwent intramedullary nailing for the tibia and fixation with K-...
Dr. Li Wenlin reply Orthopedics
Hello: Here are the answers to your questions. 1. While it is ideal for a fracture to be completely reduced without any gaps, some fracture types (such as comminuted, deformed, or with bone loss) may not be easily reducible. Therefore, it is important not to focus too much on t...[Read More] Understanding Intramedullary Nail Issues in Tibial Fractures
Understanding and Managing Scaphoid Fractures: A Patient's Guide
Closed fracture of the carpal bones in the hand? I fell while playing basketball and used my hand to break the fall, resulting in a bone injury. I went to the Tri-Service General Hospital in Keelung and had an X-ray done. They told me I have a closed fracture of the lunate bone. ...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, if it's convenient for you, please visit our hospital (Keelung Hospital) for a consultation. Through a physical examination and X-ray imaging, I will be able to provide you with further recommendations more easily![Read More] Understanding and Managing Scaphoid Fractures: A Patient's Guide
Understanding Knee Health Supplements: Do They Really Work?
Commercial products for knee health? Hello, Dr. Lee: I previously injured my left knee while playing table tennis (I often put a lot of force on the ground several times, and after playing, I felt some pain). However, after resting for a while, the symptoms would usually subside...
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, it is indeed important to take care of your knee joints, and intense exercise may not be suitable. Regarding your symptoms, it would be best to have a thorough evaluation by an orthopedic physician. Glucosamine supplements (such as glucosamine...[Read More] Understanding Knee Health Supplements: Do They Really Work?
Understanding Fifth Metatarsal Fractures: Cast Duration and Recovery
Fifth metatarsal fracture Hello Dr. Lee, I would like to inquire about a fracture of the fifth metatarsal. Given my age, how long should I be in a cast? (non-displaced)
Dr. Li Wenlin reply Orthopedics
Hello: In response to your question, a non-displaced fracture of the fifth metatarsal can typically be treated with a cast for four to six weeks. However, individual circumstances may vary, so it is best to follow the instructions of your treating physician, as a personal examina...[Read More] Understanding Fifth Metatarsal Fractures: Cast Duration and Recovery
Why Does My Pelvis Crack During Sit-Ups? Understanding the Cause
When performing sit-ups, the bones may produce a cracking sound? Hello Dr. Lee, sometimes when I do sit-ups, I hear a cracking sound in my pelvis. What could be the cause of this? Will continuing to do this exercise cause any harm to my bones? Thank you.
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question, the cracking sound is usually caused by the friction of ligaments or cartilage in the joints and does not cause any damage to the bones. If you still have concerns, I recommend consulting an orthopedic physician nearby, as they will surely be ...[Read More] Why Does My Pelvis Crack During Sit-Ups? Understanding the Cause
Understanding Patellar Fractures: Recovery, Rehabilitation, and Concerns
Patellar fracture Hello, Doctor. My mother accidentally fell on September 5, resulting in a fracture of the right patella. The doctor said it was just a crack without displacement, so surgery was not necessary. After about two weeks in a cast, it was removed, and the doctor advis...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question, based on your description, your mother's condition should gradually improve. I personally suggest: 1. These questions should be directed to your mother's attending physician (as I cannot see her X-rays or examine her in person). 2. I...[Read More] Understanding Patellar Fractures: Recovery, Rehabilitation, and Concerns
Overcoming Ankle Injury Healing Challenges in Special Needs Patients
Challenges in Healing Ankle Sprains? Dear Dr. Lee, My 23-year-old son, who has severe intellectual disabilities, suffered a torn ankle ligament from a fall while walking in mid-July this year. He was treated at a hospital where the physician advised that the ankle should be immo...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question, if the injury from mid-July has not healed by October, it indicates a slower healing process. The treatment of fractures must take into account the range of motion of the joints. If immobilization lasts too long, although the fracture may heal...[Read More] Overcoming Ankle Injury Healing Challenges in Special Needs Patients
Why Does My Knee Crack When I Stand or Squat? Understanding Joint Sounds
Knees make a cracking sound when standing up or squatting? Hello, doctor. I experience a cracking sound in my knees when I stand up, squat, or bend my knees, but sometimes if I slow down, it doesn't happen. I actually exercise very little; I mostly just walk. Is this situati...
Dr. Li Wenlin reply Orthopedics
Hello, in response to your question, this situation is normal. The knee is not damaged; the sounds coming from the joint are due to wear between the bones caused by weaker muscle strength. It is important to engage in appropriate exercises to strengthen the muscles, so developing...[Read More] Why Does My Knee Crack When I Stand or Squat? Understanding Joint Sounds