Dr. You Dianqi reply Orthopedics Question - Page 13

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Post-Car Accident: Ankle Swelling and Pain After Hospital Discharge

After being discharged from the hospital following a car accident, my ankle started to swell? A couple of days ago, I was in a car accident. On the day of the accident, I had shoulder surgery and was hospitalized for four days. My lower leg was impacted during the accident, and a...


Dr. You Dianqi reply Orthopedics
Hello; based on your description, you are concerned about a possible fracture. Initially, the X-ray did not show any fractures, but there is a possibility of an occult fracture, which typically requires a CT scan for confirmation. There are many reasons for swelling, including fr...

[Read More] Post-Car Accident: Ankle Swelling and Pain After Hospital Discharge


Understanding Upper Back Pain: Causes and Solutions for Discomfort

Upper back pain Hello, doctor: I experience pain when pressing on the left side of my mid-spine, and when I turn my neck backward, I feel a tight, mild pain in the spinal area. What could this indicate?


Dr. You Dianqi reply Orthopedics
Hello: The area of tenderness (or tightness) you described in your article is likely located between the midline of the upper back spine and the left scapula, commonly referred to as "gāo huāng tòng" (膏肓痛). There are many potential causes, including muscle imbalances in...

[Read More] Understanding Upper Back Pain: Causes and Solutions for Discomfort


Understanding Ligament Injuries: Impact of Delayed MRI on Recovery

Ligament issues I participated in a friendly match on November 25th as part of my school team. While cutting in, I twisted my left knee and fell to the ground. I have a history of anterior cruciate ligament (ACL) tear in my left knee. Since it was a Sunday, there were no orthoped...


Dr. You Dianqi reply Orthopedics
Hello: If you have not engaged in any strenuous exercise during this period, which could lead to further injury, then the nearly one-month waiting period should not result in any significant changes. This time allows the injured tissue to experience some reduction in swelling, an...

[Read More] Understanding Ligament Injuries: Impact of Delayed MRI on Recovery


Understanding Shoulder Pain After Previous Surgery: What to Do Next

Shoulder issues Hello, doctor. I would like to ask about my condition. About 10 years ago, I underwent arthroscopic surgery on my shoulder due to habitual dislocation of my left shoulder, which involved the placement of screws and repair of the labrum and bursa. Recently, I have ...


Dr. You Dianqi reply Orthopedics
Hello: Thank you for providing more detailed information. Ten years ago, you had a labral tear that resulted in recurrent shoulder dislocations, which was treated with arthroscopic surgery and anchor fixation. Recently, you have experienced discomfort unexpectedly. Could you clar...

[Read More] Understanding Shoulder Pain After Previous Surgery: What to Do Next


Dealing with Sudden Shoulder Pain After Previous Surgery: Expert Advice

Shoulder issues Hello Doctor, I would like to ask, about 10 years ago I had arthroscopic surgery on my shoulder. Recently, my shoulder has suddenly become very uncomfortable. Certain unintentional positions in my daily life cause my shoulder to hurt to the point where I cannot ex...


Dr. You Dianqi reply Orthopedics
Hello: In your message, you mentioned that you underwent arthroscopic shoulder surgery around the age of 23, but you did not specify the type of surgery or condition. It is difficult to provide precise or helpful feedback without more details. I hope you can elaborate further so ...

[Read More] Dealing with Sudden Shoulder Pain After Previous Surgery: Expert Advice


Understanding Scaphoid Fractures: Recovery and Treatment Insights

Scaphoid fracture Hello Doctor, I slipped and fell in the bathroom on October 27 and injured my hand. After a diagnosis at the hospital on November 13, I was found to have a scaphoid fracture (with a crack, no complete break, and no displacement) and was immediately put in a cast...


Dr. You Dianqi reply Orthopedics
Hello: Given that some time has passed since your injury and subsequent medical treatment, this is understandably concerning. However, it is reassuring to note that you have a non-displaced scaphoid fracture. Scaphoid fractures, compared to fractures in other parts of the body, a...

[Read More] Understanding Scaphoid Fractures: Recovery and Treatment Insights


Understanding Arthroscopic Surgery for Knee Injuries: What to Expect

Arthroscopic surgery Doctor, my knee was injured in a car accident, and I had an MRI done. The results showed that I have a torn anterior cruciate ligament (ACL), a torn medial collateral ligament (MCL), and a meniscal tear. The doctor I initially consulted advised me not to take...


Dr. You Dianqi reply Orthopedics
Hello: The following responses are based solely on your textual description. Without imaging and physical examination background, the accuracy and reliability of my replies are limited. I still recommend that you have a detailed discussion with your attending physician. Thank you...

[Read More] Understanding Arthroscopic Surgery for Knee Injuries: What to Expect


Concerns About Steel Pins in Orthopedic Surgery: When to Seek Help?

Nail issues Hello, I have a comminuted fracture of the proximal radius in my right arm, and I had three metal pins inserted. However, I have been experiencing inflammation, bleeding, and swelling recently (I have returned for follow-up). I noticed that one of the pins seems to be...


Dr. You Dianqi reply Orthopedics
Hello Mei Mei: Based on your description, it seems that you had a fracture of the radius and that three K-wires were inserted. The doctor left the wires exposed externally for easier removal in the outpatient setting later on. It appears that they may have gradually migrated into...

[Read More] Concerns About Steel Pins in Orthopedic Surgery: When to Seek Help?


Post-ACL Surgery Concerns: Knee Pain and Possible Complications

Postoperative issues Hello, doctor. I underwent anterior cruciate ligament reconstruction surgery less than a week ago and have been resting at home. While doing leg raises, I suddenly heard a popping sound from my knee (I was wearing a brace and had it set at 0 degrees). Afterwa...


Dr. You Dianqi reply Orthopedics
Hello: You mentioned that shortly after surgery, while performing quadriceps training, you heard a popping sound and then started to experience pain. Could this possibly indicate a ligament issue? I believe that in medical events, any possibility exists, but given that you were w...

[Read More] Post-ACL Surgery Concerns: Knee Pain and Possible Complications


Understanding Triangular Fibrocartilage Complex Injury After a Car Accident

Triangular fibrocartilage complex (TFCC) injury? Hello, doctor. I was involved in a car accident on June 18 and subsequently visited an orthopedic department at a regional hospital and an orthopedic clinic, where I continued to take medication and follow up. My wrist has been ver...


Dr. You Dianqi reply Orthopedics
Dear Mr. Lee, Hello. Based on your description, I would like to ask you about a specific part: When you mentioned the prominence on the radial side, are you certain it is on the radial side, or could it be on the ulnar side? Generally, symptoms of a triangular fibrocartilage com...

[Read More] Understanding Triangular Fibrocartilage Complex Injury After a Car Accident


Can I Remove My Cast for a Fractured Fifth Metatarsal After 8 Days?

Fracture of the fifth metatarsal bone? I twisted my ankle on August 12, and an X-ray on the 13th showed a fracture of the fifth metatarsal. I was put in a cast, and today my foot doesn't hurt anymore. Can I temporarily take off the cast?


Dr. You Dianqi reply Orthopedics
Dear Miss Bear, Regarding the fracture of the fifth metatarsal, the prognosis varies depending on the specific type of fracture. For more precise recommendations, a complete set of imaging and a detailed description of the fracture's anatomical location are necessary. Based...

[Read More] Can I Remove My Cast for a Fractured Fifth Metatarsal After 8 Days?


Effective Treatment Options for Cervical Disc Herniation and Arthritis

Cervical disc herniation and degenerative arthritis? Hello, doctor. I have been receiving treatment at the clinic for three months, which includes electrotherapy, paraffin hand baths, ultraviolet therapy, and cervical traction. However, I am still experiencing headaches, pain and...


Dr. You Dianqi reply Orthopedics
Hello: If the initial assessment indicates a cervical spine lesion, but rehabilitation has not shown any improvement, and there are symptoms such as chest tightness that are less commonly seen in cervical spine patients, I would still recommend returning for a thorough examinatio...

[Read More] Effective Treatment Options for Cervical Disc Herniation and Arthritis


Understanding T11 Vertebral Fractures: Treatment and Recovery Insights

Fracture of the eleventh thoracic vertebra? On the evening of June 17, I fell while climbing and landed on the wooden edge at the foot of the bed. That night, I had an X-ray taken, and the emergency doctor said there were no fractures, just a muscle contusion that would heal grad...


Dr. You Dianqi reply Orthopedics
Hello: It is not uncommon for an X-ray to miss certain conditions that may later be identified through MRI. This often suggests the presence of osteoporotic compression fractures. The treatment approach for compression fractures is generally divided into two categories: 1) Conser...

[Read More] Understanding T11 Vertebral Fractures: Treatment and Recovery Insights


Post-Operative Care for Ganglion Cyst Surgery: What to Expect

Postoperative care for a ganglion cyst? Hello, doctor. I would like to ask about the situation after a ganglion cyst surgery. It has been about three weeks since the stitches were removed, but the area around the incision has been slightly raised since the removal. Is this a norm...


Dr. You Dianqi reply Orthopedics
You did not specify the location of the ganglion cyst, making it difficult to provide you with more accurate advice. Generally, the most common site is the wrist. If you have a persistent lump after wrist ganglion cyst surgery, there could be various reasons, including postoperat...

[Read More] Post-Operative Care for Ganglion Cyst Surgery: What to Expect


Understanding Clavicle Fractures: Recovery, Driving, and Pain Management

Clavicle issues Hello Doctor: On March 28th, I fractured my left clavicle into three pieces. On April 11th, I underwent surgery where a self-funded plate was used to reconnect my left clavicle. I purchased 10 cc of artificial bone graft, but it was still insufficient, leaving a s...


Dr. You Dianqi reply Orthopedics
Hello Tommy: It has been a month since your clavicle surgery on April 11. As mentioned, your attending physician performed a reduction and fixation surgery using a self-funded plate and artificial bone. Generally speaking, if a self-funded plate was used for fixation in a clavicl...

[Read More] Understanding Clavicle Fractures: Recovery, Driving, and Pain Management


Understanding Thigh Bone Fractures: Recovery Tips and Mobility Guidance

Femoral fracture, closed fracture? Hello doctor, I would like to inquire about my condition. I had a car accident on January 12 and suffered a fracture. It has been almost four months since then. During my last follow-up appointment, the doctor mentioned that bone growth has star...


Dr. You Dianqi reply Orthopedics
Hello, Xuan Xuan: Your main issue is a femoral fracture, and it is mentioned that there is a small piece missing. If this small piece is not significant, along with the physician stating that you can gradually start using crutches, it indicates that you are currently on a normal ...

[Read More] Understanding Thigh Bone Fractures: Recovery Tips and Mobility Guidance


Post-Hip Replacement Weakness: Understanding Causes and Disability Assessment

After hip joint replacement, there may be weakness in the leg, causing difficulty in standing and a feeling of instability? The mother is nearly 80 years old and has severe osteoporosis. Last February, she suffered a fracture of the left femur and underwent surgery in the hospita...


Dr. You Dianqi reply Orthopedics
Dear Ms. Chen, Regarding your mother's condition, a detailed examination and an in-person assessment of the patient's overall situation are necessary before providing more accurate recommendations and evaluations of her condition. As for the assessment of disabilities,...

[Read More] Post-Hip Replacement Weakness: Understanding Causes and Disability Assessment


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