Can Rest Heal a Talus Fracture? Understanding Recovery and Care
Will a talus fracture heal with rest? A child injured their ankle while descending stairs in mid-March, initially diagnosed with a ligament tear. However, they have been experiencing heel pain and difficulty walking since then. An MRI in mid-May revealed a talus fracture, but sin...
Dr. Shi Guozheng reply Orthopedics
The healing of a talus fracture depends on the location of the fracture, as it can affect blood circulation, potentially leading to nonunion or even avascular necrosis. Therefore, it is essential to consult your original physician for clarification. If the fracture is non-displac...[Read More] Can Rest Heal a Talus Fracture? Understanding Recovery and Care
Understanding Knee Pain After Injury: Causes and When to Seek Help
Knee Consultation Inquiry Dear Dr. Shi, I had a car accident at the end of 2017, injuring my right knee (with bleeding and bruising). I went to an orthopedic specialist for an X-ray, and the doctor stated that there were no issues with my right knee joint (such as fractures, cra...
Dr. Shi Guozheng reply Orthopedics
The kneecap, also known as the patella, has synovial tissue present on its anterior surface. Sometimes, when kneeling and making contact, it can cause pain due to inflammation. Additionally, after a collision, there may be a period of pain when transitioning from sitting to stand...[Read More] Understanding Knee Pain After Injury: Causes and When to Seek Help
Managing Severe Right Shoulder Pain: Treatment Options and Specialist Guidance
I have severe pain in my right shoulder, to the point that I can't sleep well? Hello, I have severe pain in my right shoulder. It hurts whether I lie on my side or on my back at night, making it difficult to sleep. I have a history of hypertension, hyperlipidemia, and diabet...
Dr. Shi Guozheng reply Orthopedics
Rotator cuff tears in the shoulder are often very painful. Rehabilitation can help alleviate the pain, and corticosteroid injections into the shoulder joint or the use of anti-inflammatory pain medications can also provide relief. If there is no improvement, it is advisable to co...[Read More] Managing Severe Right Shoulder Pain: Treatment Options and Specialist Guidance
Do I Need Surgery for My Displaced Toe Bone Injury?
Do I need surgery? It's very urgent? Hello doctor, I accidentally dropped something on my foot at the end of April, which caused a small piece of bone in my big toe to shift forward. Do I need surgery for this, or can it heal on its own?
Dr. Shi Guozheng reply Orthopedics
Without imaging references, it is difficult to accurately determine if a fracture will affect function. If the fracture is displaced, surgery is necessary; if there is no displacement, surgery may not be required.[Read More] Do I Need Surgery for My Displaced Toe Bone Injury?
Post-Surgery Insights on K-Leg Tibial Plateau Issues
Post-operative care after surgery for tibial plateau in varus knee (bowlegged) deformity? Case number 182266: The alignment between the thigh and calf is incorrect, confirmed by X-ray on June 2, showing an external rotation of 8 degrees. There is a 50% bone healing under the stee...
Dr. Shi Guozheng reply Orthopedics
Your question is not clear enough. If the deformity of the knee joint is due to malalignment, and the osteotomy has been performed correctly based on the angle calculations, then you just need to wait for the healing process. If you have X-rays available for reference, it would h...[Read More] Post-Surgery Insights on K-Leg Tibial Plateau Issues
Understanding Hard Lumps on the Shin: Causes and Concerns
Tibial bone hard lump in the calf? Hello Doctor, in the past few months, I suddenly noticed a hard lump along the front of my lower leg (which I believe is the tibia). It is somewhat painful when pressed, with a sensation similar to that of a bruise. Initially, I thought it was j...
Dr. Shi Guozheng reply Orthopedics
It could be due to calcification after an injury or changes in soft tissue becoming hardened. If there are concerns, it is advisable to get an X-ray.[Read More] Understanding Hard Lumps on the Shin: Causes and Concerns
Can I Still Grow Taller at 17? Insights on Height and Growth Plates
Height issues Hello, Doctor: 1. I am currently 17 years old and about 162.5 cm tall. I have grown over 1 cm in the past six months. Is it still possible for me to reach a height of 165 to 170 cm? 2. When I was 16, I had an X-ray of my growth plates, and the doctor only mention...
Dr. Shi Guozheng reply Orthopedics
1. The likelihood is low. 2. It usually won't increase much anymore. 3. There is some correlation between height and exercise, but it must occur before the growth plates close. 4. It's just a legend and cannot be verified.[Read More] Can I Still Grow Taller at 17? Insights on Height and Growth Plates
Correcting Knee Deformities After Tibial Plateau Surgery: Solutions
Tibial plateau fracture treated surgically resulted in a varus deformity (bow-legged)? In 2021, I underwent surgery on my left knee, where five screws and a plate were used for fixation. Now, three months later, I have noticed that my thigh is turned inward, the left side of my p...
Dr. Shi Guozheng reply Orthopedics
To determine if a fracture has healed, if it has healed, active rehabilitation should be undertaken. In the future, if there are joint issues following the fracture, further treatment should be considered.[Read More] Correcting Knee Deformities After Tibial Plateau Surgery: Solutions
Understanding Ankle Pain and Plantar Fasciitis: Causes and Solutions
Ankle pain, plantar pain, plantar fasciitis? Hello, Doctor! Two weeks ago, I started experiencing pain on the outer side of both ankles. A few days ago, I went to a clinic for an X-ray, and the doctor mentioned that my stability has decreased. He advised me to wear athletic shoes...
Dr. Shi Guozheng reply Orthopedics
If the symptoms do not improve, you may consider visiting another hospital for a second opinion, as the diagnosis is not very certain.[Read More] Understanding Ankle Pain and Plantar Fasciitis: Causes and Solutions
Can Men Still Grow Taller After Growth Plate Closure? Expert Insights
Questions about growth plates? Hello, Doctor. I am 19 years old, and assuming there are no accidents, the growth plates in my legs have likely closed. However, I still hope to grow 1 to 2 centimeters taller. Recently, I came across an interesting article at this link: https://zhu...
Dr. Shi Guozheng reply Orthopedics
1. It is theoretically impossible. 2. X-rays of the knee joint or wrist joint. 3. It cannot grow. 4. It has no significant effect.[Read More] Can Men Still Grow Taller After Growth Plate Closure? Expert Insights
Can Resting Heal a Talus Fracture in Children? Key Insights and Next Steps
Will a talus fracture heal with rest? A child fell down the stairs in mid-March and injured their ankle. Initially diagnosed with a ligament tear, they have been experiencing heel pain and difficulty walking since then. An MRI in mid-May revealed a talus fracture, but since it ha...
Dr. Shi Guozheng reply Orthopedics
1. Usually heals on its own. 2. Blood circulation may be slightly impaired after a fracture, but it does not lead to ischemia. 3. No treatment is necessary. 4. Continue outpatient follow-up to monitor the healing of the fracture, typically with X-rays taken every four to six week...[Read More] Can Resting Heal a Talus Fracture in Children? Key Insights and Next Steps
Can I Still Grow Taller at 17? Understanding Growth Plates and Height Potential
Height issues Hello, Doctor: 1. I am currently 17 years old and approximately 162.5 cm tall. I have grown over 1 cm in the past six months. Is it still possible for me to reach a height of 165 to 170 cm? 2. When I was 16, I had an X-ray of my growth plates, and the doctor only m...
Dr. Shi Guozheng reply Orthopedics
1. If the growth plates have already closed, theoretically, one will not grow taller. 2. Exercise can strengthen muscles and bones, and some activities may also stimulate bone growth. 3. It is unlikely for college students to grow taller.[Read More] Can I Still Grow Taller at 17? Understanding Growth Plates and Height Potential
Do I Need Surgery for a Right Tibial Fracture? Recovery Insights
Does a right tibial fracture require surgery? Hello, doctor. I am working in mainland China and accidentally had a collision with a car, resulting in a lateral fracture of my right tibia. Do I need surgery? I am currently using a cast for immobilization, and it has been 8 days. H...
Dr. Shi Guozheng reply Orthopedics
If it is a simple fracture without displacement, treatment with a cast is sufficient, and it typically takes eight to twelve weeks to heal. The cast should remain until the femoral head has healed, which takes at least eight weeks. Currently, if the cast is stable, walking is pos...[Read More] Do I Need Surgery for a Right Tibial Fracture? Recovery Insights
Left Chest Pain After Fall: Causes and Recovery Tips
Left chest area due to impact with the ground? Hello, last Friday night I accidentally fell while walking, which caused pain in my left chest due to the impact with the ground. There are no obvious external injuries, but so far, the lower edge of my left chest is tender to the to...
Dr. Shi Guozheng reply Orthopedics
A chest contusion without bleeding typically heals within two to three weeks. If you have any concerns, you can visit a hospital to get a chest X-ray to check for any rib issues.[Read More] Left Chest Pain After Fall: Causes and Recovery Tips
Understanding Coccyx Injuries: Symptoms and When to Seek Help
Coccygeal issues Hello, yesterday I accidentally fell on my buttocks while skateboarding (the marked area is shown in the attached image). I can walk normally now, but when I lie down and press on the impacted area, it feels like a bruise pain. My legs are fine, with no soreness ...
Dr. Shi Guozheng reply Orthopedics
You can go to the hospital for an X-ray to determine if there is a fracture; sometimes, trauma to the coccyx can cause a fracture.[Read More] Understanding Coccyx Injuries: Symptoms and When to Seek Help
Third Metatarsal Fracture: Is No Change After Two Months Normal?
Fracture of the third metatarsal, with no changes observed on X-ray after two months? Hello Doctor: I have a fracture in the third metatarsal, and the X-ray showed no changes after two months. 1. Is this recovery speed normal? 2. Am I allowed to walk?
Dr. Shi Guozheng reply Orthopedics
1. Metatarsal fractures in the foot typically take more than three months to heal, so seeing progress after two months is considered normal. 2. Walking is possible.[Read More] Third Metatarsal Fracture: Is No Change After Two Months Normal?
Post-Surgery Rehabilitation Tips for Hip Fracture Recovery
How should my sister rehabilitate after hip fracture surgery? Your sister suffered a fractured hip joint in a car accident on May 8 and underwent a second surgery the day before yesterday. She is currently able to get out of bed and walk, but she is still experiencing severe pain...
Dr. Shi Guozheng reply Orthopedics
If the fracture has been successfully realigned and securely fixed after surgery, the physician will allow the patient to perform some hip joint exercises, such as lifting the thigh forward, extending it backward, and moving it laterally or medially. However, walking will still r...[Read More] Post-Surgery Rehabilitation Tips for Hip Fracture Recovery
Understanding Delayed Bone Healing After Open Fracture Surgery
Fracture healing issues? Hello Doctor, I was in a car accident at the end of last year and sustained an open and comminuted fracture of my right thigh, for which I had a steel plate implanted. I underwent three debridement surgeries, and now, five months later, during my last fol...
Dr. Shi Guozheng reply Orthopedics
Complete healing without any gaps is necessary before one can walk with strength. Stable bone support is essential for promoting bone growth. Comminuted fractures are typically more challenging to heal; however, if healing does not occur, one must consider whether to undergo bone...[Read More] Understanding Delayed Bone Healing After Open Fracture Surgery
Can an 11-Year-Old Return to Table Tennis After Wrist Fracture Surgery?
Distal radius fracture of the right wrist? Hello, Doctor: The patient is an 11-year-old child who underwent surgical fixation with a steel pin for a distal radius fracture in the right wrist two months ago. Now, two months post-operation, the X-ray shows good bone healing. May I ...
Dr. Shi Guozheng reply Orthopedics
An 11-year-old child typically has a shorter healing time compared to adults, so it is currently acceptable for them to engage in light exercise. Mild pain is considered normal.[Read More] Can an 11-Year-Old Return to Table Tennis After Wrist Fracture Surgery?
Managing Pain and Recovery After Complete Quadriceps Tendon and Ligament Tears
Complete rupture of the quadriceps tendon and ligaments in both legs? I would like to ask the doctor: 1. How long after surgery will the pain decrease? I just had surgery and the pain is so severe that I can't sleep or eat, and the pain medication prescribed after discharge ...
Dr. Shi Guozheng reply Orthopedics
1. The physician may increase the dosage or frequency of pain medication; the pain should gradually alleviate over one to two weeks. 2. If the wound has already subsided, alternating between heat and cold compresses is recommended. 3. The recovery period may take up to three ...[Read More] Managing Pain and Recovery After Complete Quadriceps Tendon and Ligament Tears