Understanding Patellar Dislocation: Symptoms, Treatment, and Recovery
Patellar dislocation Hello Doctor, I am 20 years old. Here are the details of my condition: Date: January 19, 2005 How the injury occurred: I was squatting on the ground looking for something, and when I tried to stand up, it felt like I pulled something in my right knee. It...
Dr. Shi Guozheng Reply:
The lateral displacement of the patella may be caused by an injury or may have been present from the beginning. If it is not severe enough to require surgery, rehabilitation focusing on quadriceps strengthening exercises can help improve the condition. Currently, arthroscopic sur...[Read More] Understanding Patellar Dislocation: Symptoms, Treatment, and Recovery
Effective Strategies for Managing Persistent Knee Pain: A Comprehensive Guide
Knee joint pain Dear Dr. Lee, I have been experiencing knee pain for the past two years, which has caused significant inconvenience in my daily life, especially since I used to enjoy walking and hiking as forms of exercise. I have sought medical attention multiple times, but the...
Dr. Li Wenlin Reply:
Hello: In response to your question, based on your description, possible diagnoses include patellar chondromalacia or subluxation, avascular necrosis of the femoral condyle, and degenerative arthritis. The diagnostic tools should be utilized in the following order: 1. Standing kn...[Read More] Effective Strategies for Managing Persistent Knee Pain: A Comprehensive Guide
Can Knee Inflammation Cause Swelling? Understanding Treatment Options
Can knee joint inflammation cause swelling? Hello, Doctor: May I ask if inflammation of the knee joint can cause swelling and fluid accumulation? Will taking anti-inflammatory medications (NSAIDs) help reduce the swelling, or do they only address the symptoms without treating the...
Dr. Li Wenlin Reply:
Hello: In response to your question... The management of knee joint effusion involves compression with elastic bandages and the use of oral anti-inflammatory medications. If the effusion does not resolve, joint aspiration is the next step, as it has two main benefits: first, it r...[Read More] Can Knee Inflammation Cause Swelling? Understanding Treatment Options
Understanding Cartilage Tears: Recovery and Future Implications
Cartilage rupture Last year, I had an accident that caused my knee to dislocate. Afterward, I consulted a doctor who recommended arthroscopic surgery to remove the damaged ligaments so that I could heal naturally. However, after the surgery, my leg still hasn't fully recover...
Dr. Yang Zhengfan Reply:
Dear Ah-Xiang, your symptoms are typical of a meniscal tear. An MRI should be able to reveal the condition of the meniscus. Arthroscopic surgery can provide a comprehensive treatment for the meniscus; however, the term "comprehensive treatment" may not align with your i...[Read More] Understanding Cartilage Tears: Recovery and Future Implications
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:
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 ACL Reconstruction: Is It Necessary After Injury?
Ligament reconstruction surgery Hello, Dr. Yeh: Due to a sports injury, I have not exercised for a long time. Recently, I experienced frequent locking in my knee while walking, so I consulted a doctor at Chung Shan Medical University. The doctor diagnosed me with a meniscus tear ...
Dr. Ye Qingnian Reply:
Anterior cruciate ligament (ACL) tears can be managed through rehabilitation or ligament reconstruction surgery. It is important to gradually increase the weight during leg raises to strengthen the thigh muscles and restore stability to the knee joint. I recommend focusing on str...[Read More] Understanding ACL Reconstruction: Is It Necessary After Injury?
Chronic Knee Pain: Seeking Solutions for Persistent Symptoms
The knee has not healed despite prolonged treatment? At the end of last year, during a visit to Hsinchu, I had 50cc of fluid drained from my knee due to swelling. The doctor mentioned that the fluid had some blood in it, which could indicate an old injury; however, I couldn'...
Dr. Shi Qiming Reply:
Dear netizen: Based on your condition, after various imaging examinations, a definitive diagnosis has still not been obtained. It is indeed necessary to perform arthroscopy for both diagnosis and treatment. If intra-articular bone cysts are discovered during the procedure, they c...[Read More] Chronic Knee Pain: Seeking Solutions for Persistent Symptoms
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:
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 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:
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
Should You See an Orthopedic Doctor for Meniscus or Ligament Injuries?
Meniscus/Ligament Injury? Dear Doctors, Hello, I would like to know if I should see an orthopedic doctor for a possible meniscus/ligament injury (as described below). I have consulted several doctors; some suggested rheumatoid issues, while others indicated potential damage to t...
Dr. Hong Ximing Reply:
Hello! Based on the symptoms you described, it is evident that you have a meniscus injury in your left knee, which has also affected your patellar chondromalacia. It is necessary to perform arthroscopic surgery for diagnosis and treatment, as MRI can only provide an examination. ...[Read More] Should You See an Orthopedic Doctor for Meniscus or Ligament Injuries?
Is ACL Reconstruction Necessary? Insights from a Knee Injury Experience
Anterior cruciate ligament reconstruction issues? Hello Dr. Yang! I have a question I would like to ask you. Four years ago, I suffered a rupture of my anterior cruciate ligament (ACL) and a meniscus tear with displacement. I underwent arthroscopic surgery six months later, but a...
Dr. Yang Zhengfan Reply:
Dear Ah Yan, I believe you have also gathered a lot of information. For orthopedic surgeons who are truly professionally trained, the outcomes of anterior cruciate ligament (ACL) reconstruction surgery are excellent, and the recovery is fast. There is really no reason not to proc...[Read More] Is ACL Reconstruction Necessary? Insights from a Knee Injury Experience
Effective Treatments for Knee Joint Effusion: Beyond Aspiration and Medication
Knee joint effusion Hello, Since the end of April, I have experienced swelling and fluid accumulation in both of my knee joints three times. After multiple examinations at Veterans General Hospital and Chang Gung Memorial Hospital (including routine blood tests, urinalysis, can...
Dr. Yang Zhengfan Reply:
Dear Pisces, indeed there are some patients who experience knee effusion with no identifiable cause. Generally, we categorize these patients under "inflammation." As for the cause of the inflammation, it could be due to degeneration, autoimmune rheumatic diseases, bacte...[Read More] Effective Treatments for Knee Joint Effusion: Beyond Aspiration and Medication
Understanding Patellar Malalignment: Risks and Recovery from Surgery
Regarding patellar valgus...??? Hello Dr. Lin: I have had knee problems for several years now. I have seen many doctors, some of whom said it was "osteoarthritis," while others mentioned "meniscal wear and tear." During this time, I followed the doctors' ...
Dr. Lin Gengxiao Reply:
1. Knee pain is commonly seen in middle-aged women, with various potential causes such as degeneration of the articular cartilage (femur, tibia, and patella), osteoarthritis, and injuries to the surrounding ligaments and soft tissues of the knee joint. 2. Conventional medicatio...[Read More] Understanding Patellar Malalignment: Risks and Recovery from Surgery
Managing Rheumatoid Arthritis: Surgery vs. Medication and Rehab Options
Rheumatoid Arthritis About eight years ago, I sustained a ligament injury. At that time, I did not undergo surgical treatment, but my foot has been experiencing intermittent pain. Recently, I went to the hospital for an X-ray, and the doctor mentioned that the bones in my knee ar...
Dr. Shi Guozheng Reply:
You may first consider trying rehabilitation and medication treatment. Is the imbalance of the patella referring to patellar valgus or lateral displacement? This needs to be clarified. If so, arthroscopic surgery may help improve the condition.[Read More] Managing Rheumatoid Arthritis: Surgery vs. Medication and Rehab Options
Managing Severe Knee Cartilage Degeneration: Treatment Options and Insights
The knee cartilage has degenerated to the point where the two bones are almost fused together? Symptoms: The mother (60 years old) has degenerative knee cartilage to the point where the two bones are nearly fused. Treatment history: Received five hyaluronic acid injections with r...
Dr. Yang Zhengfan Reply:
Dear Lan, 1. Glucosamine can essentially be considered a dietary supplement, and it can still be used by patients undergoing dialysis. 2. The laser method you mentioned refers to arthroscopic surgery. Based on your description, it seems that the patient has reached a severe le...[Read More] Managing Severe Knee Cartilage Degeneration: Treatment Options and Insights
Understanding and Managing Depressed Fractures in the Knee Region
Depressed fracture The patient underwent arthroscopic surgery four years ago due to an unknown reason. During the procedure, it was discovered that the patient had a depressed fracture at the site where the tibia connects to the knee joint (tibial plateau), approximately the size...
Dr. Shi Guozheng Reply:
A depressed fracture that is not extensive will not affect joint function. The depth of the depression also matters; shallower depressions typically do not pose significant issues. If there is currently no pain in the joint, there is no need for concern. However, if pain does occ...[Read More] Understanding and Managing Depressed Fractures in the Knee Region
Understanding and Managing Depressed Fractures in the Knee Joint
Depressed fracture Hello Doctor, the patient underwent arthroscopic surgery four years ago due to an unknown reason. During the procedure, it was discovered that the patient had a depressed fracture at the tibial plateau, approximately the size of a one-dollar coin, at the juncti...
Dr. Xu Xijing Reply:
Please visit the outpatient clinic for a consultation.[Read More] Understanding and Managing Depressed Fractures in the Knee Joint
Effective Exercises for Thigh Rehabilitation After Knee Surgery
Help my knee! Hello! My thigh has atrophied quite severely. I injured my knee while playing basketball last summer and underwent arthroscopic surgery. Since then, my thigh has atrophied significantly, and I have difficulty climbing stairs. What methods can I use to train my thigh...
Dr. Hong Ximing Reply:
Hello! Thank you for your message. Muscle atrophy after a knee injury is a normal phenomenon. Since I am not aware of the diagnosis following your arthroscopic surgery, generally speaking, after ensuring proper protection of the knee joint post-surgery, rehabilitation therapy can...[Read More] Effective Exercises for Thigh Rehabilitation After Knee Surgery
Understanding Patellar Chondromalacia: Causes, Treatment, and Recovery Tips
What is patellar chondromalacia? Hello Dr. Lee: I am currently serving in the military. Recently, I experienced pain in my right knee that has persisted for two years, so I visited the 804 Hospital. The doctor initially diagnosed me with a meniscus tear and recommended arthroscop...
Dr. Li Wenlin Reply:
Hello: In response to your question, patellar chondromalacia is usually of unknown origin and typically occurs after the teenage years. Almost everyone over the age of forty experiences some degree of patellar softening due to aging. Quterbridge classified the observation of pate...[Read More] Understanding Patellar Chondromalacia: Causes, Treatment, and Recovery Tips
Understanding Knee Noises: Causes, Concerns, and Rehabilitation Tips
Knee crepitus? Hello, doctor. When I walk or run, my knees don't show any significant issues, but whenever I bend them, such as when squatting down and standing up or kneeling, they make a loud cracking sound when pressure is applied. Occasionally, I feel a slight soreness, ...
Dr. Xu Zhijun Reply:
Hello: The human knee begins to form a cavity from embryonic development, gradually forming condyles from the distal end of the femur and the proximal end of the tibia, which become part of the hard and soft tissues of the knee joint. Sometimes, during the formation of the cavity...[Read More] Understanding Knee Noises: Causes, Concerns, and Rehabilitation Tips