ACL Avulsion Fracture: Traditional vs. Minimally Invasive Surgery Options
Anterior cruciate ligament (ACL) avulsion fracture Hello, two weeks ago I had a car accident, and X-rays and MRI confirmed an ACL sprain with a fracture. I would like to inquire about the recommendations for traditional surgery versus minimally invasive surgery. Additionally, how...
Dr. Li Yongheng Reply:
Hello, in the case of a non-displaced anterior cruciate ligament (ACL) avulsion fracture, it can be treated with a cast without the need for surgery. If the fracture is displaced, minimally invasive arthroscopic surgery is recommended. Generally, a brace is required for 4-6 weeks...[Read More] ACL Avulsion Fracture: Traditional vs. Minimally Invasive Surgery Options
Understanding Antibiotic Treatment for Septic Arthritis After Surgery
Antibiotics for pyogenic arthritis Hello, doctor. I underwent arthroscopic surgery at the end of May, and two weeks post-operation, I developed a bacterial infection, which required another debridement surgery. I was hospitalized for two weeks and received daily intravenous antib...
Dr. Shi Guozheng Reply:
Typically, a treatment duration of six weeks is required; stopping the medication too early may lead to a relapse. The standard treatment regimen consists of two weeks of injections followed by four weeks of oral medication. Afterward, it is important to assess whether the infect...[Read More] Understanding Antibiotic Treatment for Septic Arthritis After Surgery
Post-ACL Surgery: Managing Swelling and Discomfort After Arthroscopy
Post-operative swelling after arthroscopic surgery? Hello Doctor, I underwent arthroscopic surgery for anterior cruciate ligament reconstruction and meniscus repair one week ago. Although there is some swelling post-surgery, I believe it is not too severe. However, due to the nat...
Dr. Cai Shanglin Reply:
If swelling persists after surgery, ice packs should be applied. If the swelling has started to subside, heat packs can be used. Generally, the elevation should be above heart level. If the swelling still does not improve, it is recommended to return for a follow-up examination.[Read More] Post-ACL Surgery: Managing Swelling and Discomfort After Arthroscopy
Persistent Knee Pain After Injury: Seeking Answers and Solutions
Severe pain persists in the knee two and a half months after the injury? Hello Doctor: Thank you for your tireless efforts in answering the questions of netizens. I truly appreciate it. In mid-February, while running, I tripped over an unknown object and fell, landing on both kne...
Dr. Chen Yongxue Reply:
Hello, both meniscus and cruciate ligament injuries cannot be diagnosed with X-rays; an MRI is necessary. Regarding the interpretation of MRI results, there can be some margin of error. PRP injections cannot alleviate pain from a right knee fracture; if there is no displacement, ...[Read More] Persistent Knee Pain After Injury: Seeking Answers and Solutions
Choosing the Best ACL Reconstruction Option for Athletes
Second rupture of the cruciate ligament? Hello Doctor, I recently underwent an examination and was diagnosed with a torn anterior cruciate ligament (ACL) combined with a meniscus tear. During my first injury, I used the hamstring tendon from the affected leg for reconstruction. T...
Dr. Shi Guozheng Reply:
It is best to discuss with your physician whether arthroscopic surgery for the meniscus issue is appropriate, as the differences in outcomes may not be significant.[Read More] Choosing the Best ACL Reconstruction Option for Athletes
Understanding Shoulder Labrum Repair: Concerns About Titanium Screws
Inquiry about the glenoid labrum and the use of screws? Hello, Doctor. I have been diagnosed with a tear in the supraspinatus muscle and a labral tear. I have been experiencing pain for a long time, and after more than a year of ineffective rehabilitation, my doctor has recommend...
Dr. Shi Guozheng Reply:
1. Usually, the screws used to fix ligaments do not need to be removed, and if removal is necessary, it can be quite difficult. You can still engage in physical activity later, and the chance of loosening is minimal. You may want to consult your attending physician about this. ...[Read More] Understanding Shoulder Labrum Repair: Concerns About Titanium Screws
Effective Rehabilitation Exercises for Post-Shoulder Surgery Recovery
Shoulder surgery issues? Hello Doctor, I would like to ask, I had arthroscopic surgery for shoulder ligament laxity and it has been 5 months since the surgery. I have been doing rehabilitation for 1-3 hours every day for the past 5 months, but I still have difficulty reaching beh...
Dr. Li Yongheng Reply:
Hello, you underwent arthroscopic surgery for shoulder ligament laxity five months ago, but you still have difficulty reaching behind your upper back. It is recommended that you continue with rehabilitation and discuss with your physical therapist about increasing the intensity o...[Read More] Effective Rehabilitation Exercises for Post-Shoulder Surgery Recovery
Post-Surgery Knee Cartilage Damage: What to Expect and Next Steps
Knee cartilage tear, post-surgery? Hello Doctor, I am currently 23 years old. It has been a year since I underwent cartilage debridement surgery. The surgeon mentioned that my left knee cartilage was severely damaged, but did not provide any follow-up treatment plan. Now, a year ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, you should return to the original surgical hospital and consult with your primary surgeon to clarify whether your meniscus tear was treated with partial meniscectomy or meniscus repair surgery. The feeling of looseness in your knee may be related to...[Read More] Post-Surgery Knee Cartilage Damage: What to Expect and Next Steps
Addressing Elbow Asymmetry After Shoulder Surgery: Solutions and Insights
Elbow issues Hello doctor, three months ago I underwent arthroscopic surgery on my right shoulder due to ligament laxity. When I looked in the mirror, I noticed that when both arms are relaxed and hanging down, my elbows are noticeably asymmetrical; my right arm is slightly turne...
Dr. Li Yongheng Reply:
Hello, three months after undergoing arthroscopic surgery for a loose ligament in the right shoulder, you may notice that your right hand is slightly outward and you feel some sensations and a faint sound during rotation. These are often normal occurrences. As long as you continu...[Read More] Addressing Elbow Asymmetry After Shoulder Surgery: Solutions and Insights
Understanding Elbow Pain: Causes, Diagnosis, and Treatment Options
Elbow issues Hello doctor, my elbow feels like it is stuck on the back side, and this has been going on for about 4.5 years. I can clearly feel that I cannot fully extend it. I have seen a rehabilitation specialist in the past, and treatments like heat therapy and electrical stim...
Dr. Li Yongheng Reply:
Hello, if your elbow injury has persisted for 4-5 years and you feel it is catching, it could be due to joint capsule contracture or cartilage damage. I recommend that you see an orthopedic specialist in sports medicine. A computed tomography (CT) scan may be necessary, and if ne...[Read More] Understanding Elbow Pain: Causes, Diagnosis, and Treatment Options
Post-Surgery Knee Pain: Understanding Recovery After Meniscus Removal
Post-operative care after knee plica excision? Hello, doctor. A family member in their sixties underwent a medial plica excision surgery four months ago due to chronic knee pain. Online sources suggest a quick recovery post-surgery, but we are experiencing increased pain, especia...
Dr. Shi Guozheng Reply:
If the knee pain is not caused by issues with the meniscus, then such surgery may not alleviate the symptoms. If pain persists after the surgery, it is important to investigate other potential causes, which could include arthritis, cartilage degeneration, meniscal tears, ligament...[Read More] Post-Surgery Knee Pain: Understanding Recovery After Meniscus Removal
Understanding Post-Shoulder Arthroscopy: Scar Concerns and Heat Therapy
Shoulder arthroscopy issues? I underwent arthroscopic surgery due to ligament laxity and it has been 50 days post-operation. I would like to ask: 1. One of the scars feels hard to the touch and there seems to be something underneath. Could it be a screw or something else? During ...
Dr. Chen Yongxue Reply:
Hello, it should be a scar. Thank you.[Read More] Understanding Post-Shoulder Arthroscopy: Scar Concerns and Heat Therapy
Will Loose Ligaments Heal Over Time After Arthroscopic Surgery?
Shoulder arthroscopy issues? Hello, I underwent endoscopic surgery where screws were placed due to my lax ligaments. I would like to ask if the originally lax ligaments will gradually heal over time?
Dr. Li Yongheng Reply:
Hello, due to the looseness of the shoulder ligaments, an arthroscopic surgery will tighten the loosened ligaments. The originally loosened ligaments may gradually heal over time. Wishing you a speedy recovery.[Read More] Will Loose Ligaments Heal Over Time After Arthroscopic Surgery?
Post-Surgery Knee Issues: Understanding Recovery After Meniscus and ACL Surgery
Postoperative issues In July of this year, I underwent partial meniscectomy and suturing of the anterior and posterior cruciate ligaments (arthroscopic surgery). Currently, my knee is still swollen, and I am unable to squat. Initially, there was a locking issue on the medial side...
Dr. Shi Guozheng Reply:
It is normal to still be in recovery just over a month after surgery; it typically takes about three to six months to fully recover.[Read More] Post-Surgery Knee Issues: Understanding Recovery After Meniscus and ACL Surgery
Post-Surgery Shoulder Recovery: Understanding Limitations and Progress
Postoperative shoulder joint care In December of last year, I was involved in a car accident, and the doctor diagnosed a complete rupture of the supraspinatus muscle in my right arm (with a gap of approximately 2 by 3 centimeters) and a biceps tear. In January of this year, I und...
Dr. Shi Guozheng Reply:
Muscle weakness should be addressed by continuing rehabilitation to strengthen muscle power.[Read More] Post-Surgery Shoulder Recovery: Understanding Limitations and Progress
Post-Operative Recovery After Plica Resection: What to Expect
Recovery after Plica excision surgery? Hello Dr. Shih, Thank you for taking the time to read my question. I underwent arthroscopic surgery on May 1st this year. The doctor informed me post-surgery that they found an enhanced plica fold, which was subsequently removed. Four days ...
Dr. Shi Guozheng Reply:
The recovery after surgery typically takes about eight to twelve weeks, after which rehabilitation can be resumed, and it is likely that no further surgery will be necessary.[Read More] Post-Operative Recovery After Plica Resection: What to Expect
Understanding Meniscus Treatment Options for Knee Pain Relief
Meniscus treatment In early January, I forcefully rotated to the right while my left foot remained stationary, resulting in a sudden, intense pain. My left knee hurts when fully extended, and squatting is also painful; if I attempt to squat deeply, it becomes very sore, and the p...
Dr. Chen Yongxue Reply:
Hello, regarding your letter, you should have already consulted with an orthopedic specialist, and there should be an accurate diagnosis based on your current symptoms. The symptoms you described are very similar to those of a torn anterior cruciate ligament (ACL) or a meniscal t...[Read More] Understanding Meniscus Treatment Options for Knee Pain Relief
Understanding Knee Pain: The Impact of Leg Raises After Surgery
Leg raises can cause knee pain? Five years ago, I underwent arthroscopic surgery for patellar chondromalacia combined with patellar malalignment. After the surgery, I received high-dose hyaluronic acid injections and a course of PRP therapy. Nine months post-surgery, I began expe...
Dr. Shi Guozheng Reply:
The cartilage in the patella may have issues, causing discomfort when standing up from a squatting position.[Read More] Understanding Knee Pain: The Impact of Leg Raises After Surgery
Understanding ACL Tears and Meniscus Issues: Key Insights for Patients
Issues with the cruciate ligaments and meniscus? Hello Dr. Shi: Last month, at Tzu Chi Hospital in Taichung, I was diagnosed with a torn anterior cruciate ligament (ACL) after physical examination, X-rays, and MRI. I am preparing for an arthroscopic surgery for autologous ligamen...
Dr. Shi Guozheng Reply:
If an MRI scan cannot determine whether there is a meniscal tear, it can certainly be assessed during surgery. Alternatively, arthroscopy can also visualize the condition, and both procedures can be performed simultaneously. Both types of surgery are covered by health insurance.[Read More] Understanding ACL Tears and Meniscus Issues: Key Insights for Patients
Understanding Plica Syndrome: Surgery and Rehabilitation Insights
Syndrome of Wrinkles Surgical Issues Hello, I was involved in a car accident on June 16 of this year. My external injuries have mostly healed, and in mid-August, I started rehabilitation for my right knee (electrical stimulation and infrared heat therapy). However, my condition h...
Dr. Hong Ximing Reply:
Patients with pterygium syndrome can be discharged three days after joint surgery. During the surgery, it is important to also check for any injuries to the ligaments and meniscus, as these may require rehabilitation.[Read More] Understanding Plica Syndrome: Surgery and Rehabilitation Insights