Bone, Orthopedics FAQ

Understanding Left Ankle Fractures: Recovery, Alignment, and Swelling

Fracture of the left medial malleolus? Hello, I fractured my left ankle on April 12th, with some displacement, and it has been over three months. Here are my questions: 1. Does a non-aligned left ankle fracture have any impact? Is it necessary for it to be aligned? 2. Is there ...

Dr. Wang Jiacheng Reply:
1. It is best to align properly. 2. Apply a little weight. 3. Elevate the foot as much as possible. 4. It may take more than six months for the swelling to subside. 5. It should not be a problem.

Understanding Chronic Back Pain After Spinal Injury: Seeking Solutions

Inquiring about spinal pain? Hello Doctor, in 2018, I accidentally fell down the stairs and fractured my lumbar vertebrae L11 and L12. At that time, Dr. Ma suggested surgery, but due to my heart condition, my family opposed the surgery, so I decided against it. Now, seven years l...

Dr. Chen Yongxue Reply:
Hello, online consultations cannot replace in-person diagnoses. If you have already seen a neurosurgeon, you can discuss with your attending physician whether further tests or referrals are necessary to identify the underlying cause. Thank you.

Understanding Conservative Treatment for Ankle Fractures: Key Concerns

Adopt conservative treatment? Hello, I fractured my left ankle on April 12, with some displacement, and it has been over three months. Here are my questions: 1. Does a non-aligned fracture of the left ankle have any impact? Is it necessary for it to be aligned? 2. Is there any ...

Dr. Shi Guozheng Reply:
1. It is best to align properly. 2. Apply a little weight. 3. Elevate the foot as much as possible. 4. It may take more than six months for the swelling to subside. 5. It should not happen.

Understanding Rib Injuries: When to Seek Further Imaging After Trauma

Chest contusion Today, I accidentally bumped my knee against my husband's lower right rib cage and heard a popping sound. Due to the pain, I went for an X-ray, and the doctor said the bones should be fine, but mentioned that due to the curvature of the bones, they couldn...

Dr. Shen Boquan Reply:
Hello, the chest contusion you have experienced shows no obvious rib fractures or pneumothorax on the X-ray. It is likely due to soft tissue inflammation. However, sometimes fractures may not be visible due to the angle of the X-ray or the location of the fracture. If your pain i...

Impacts of Misaligned Left Ankle Fractures and Swelling Recovery

Fracture of the left medial malleolus? Hello, I have a fracture of the left ankle with some displacement. Here is the X-ray link: https://lurl.cc/zY5ua. I would like to know if a displaced fracture of the left ankle has any implications, and is it necessary for the bones to be al...

Dr. Wang Jiacheng Reply:
A slight displacement may not require surgery, but it will take about three months to heal. Swelling will also take approximately three months to subside. It is advisable to elevate the foot to aid in reducing swelling and to avoid prolonged walking or standing.

Understanding L1 Vertebral Fractures: Recovery Tips and Concerns

Fracture of the first lumbar vertebra (L1 fracture) Hello, doctor. I currently have a fracture of the first lumbar vertebra (the CT scan shows a distinct white mark). It has been three weeks, and I would like to ask: 1. Is it normal to feel sensations in the affected area while l...

Dr. Wang Jiacheng Reply:
1. It is normal. 2. You can apply a warm compress now. 3. It's okay. 4. The bone's sound barrier doesn't change quickly; going for an X-ray early may not reveal anything special.

Understanding Ligament Injuries: Choosing Between Allograft and Autograft

Ligament injury Hello Doctor, I had a car accident last June where my knee suffered an open fracture (bone crack). Initially, I had no issues with rehabilitation after the accident, but recently I've been feeling instability in my knee joint, so I scheduled an MRI. After the...

Dr. You Dianqi Reply:
Hello, the options for ligament reconstruction include autografts, allografts, and synthetic ligaments. Generally, most people prefer autografts. However, if you have a need for rapid recovery and a return to the playing field, allografts may be more ideal. Allografts themselves ...

Understanding Coccyx Pain: Causes and Treatment Options

Coccygeal pain or discomfort around the coccyx? I would like to ask about experiencing a dull pain around the coccyx, sometimes accompanied by a sore and soft sensation. This discomfort has persisted for several months. I have had an X-ray taken, which showed a significant inward...

Dr. Wang Shouji Reply:
Hello, if the pain from the injury has not improved since then, it may be a sequela. It is recommended to apply heat therapy frequently and avoid prolonged sitting. Maintain an upright posture while sitting, and when riding a bicycle or motorcycle, avoid direct pressure on the ta...

Post-Surgery Concerns: Understanding Clavicle Fracture Recovery

Postoperative care for clavicle fracture? Hello doctor, I had a car accident on June 18 and suffered a right-sided clavicle fracture. I underwent surgery on June 18 to fix it with steel nails and plates. I had my stitches removed on July 1, but on July 7, I experienced discomfort...

Dr. Shi Guozheng Reply:
1. It is normal to feel discomfort during activity. 2. The tingling sensation near the plate may be due to the prominence of the bone screws or the plate itself. 3. If you are concerned, you should return for an X-ray.

Understanding Rib Pain: Causes, Symptoms, and When to Seek Help

Rib issues Hello Doctor: I have been experiencing rib pain for about 3 to 4 months. I consulted a doctor who said it was inflammation. It has improved somewhat, but I still occasionally feel a dull pain. Recently, when sitting in a chair, I experience pain in my ribs, and I have ...

Dr. Chen Yongxue Reply:
Hello, this is a common presentation of pleurisy, which is often significantly related to prolonged sitting. Please discontinue the medication and develop a habit of exercising. If there is no improvement, please visit the orthopedic clinic for further examination. Thank you.

Understanding Rib Pain: Causes, Treatments, and When to Worry

Rib issues Hello Doctor: I have been experiencing rib pain for three months. Pressing on the ribs causes pain, and it hurts even more when I sneeze or cough. I consulted a doctor who diagnosed it as inflammation and prescribed anti-inflammatory and pain-relief medications, as wel...

Dr. Wang Shouji Reply:
You can visit the outpatient clinic for an examination.

Should You Remove Intramedullary Nails After Fracture Surgery?

Is it necessary to remove the intramedullary nail? Hello Doctor: I was involved in a car accident on July 23, 2023, which resulted in a closed fracture of my right tibia with three segments broken and bone fragmentation. I underwent an open reduction and internal fixation surgery...

Dr. Shi Guozheng Reply:
1. Intramedullary nails should only be removed after the fracture has healed. If the nail is protruding, it should be extracted. 2. Some physicians may not perform bone grafting, and this may not pose any issues. 3. Leaving the nail in place can cause a foreign body sensation...

Ankle Fracture Recovery Challenges: Pain, Healing, and Work Limitations

Ankle fracture recovery issues? Hello Doctor: It has been six weeks since my bone fracture, and it has not fully healed yet. I am able to walk with the assistance of crutches, but I have injuries on both sides of my ankle. I experience some pulling pain while walking; will this a...

Dr. Shi Guozheng Reply:
You should assess the recovery situation and consider visiting a hospital to have a physician evaluate and issue a medical certificate.

Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions

Steel plate fracture I had my first surgery with steel nails, but my hand ended up misaligned by 2.8 mm, which made it difficult to lift. Later, I underwent treatment with a steel plate, and I was able to lift my hand again. However, the steel plate broke within three months, and...

Dr. Shi Guozheng Reply:
Is the location of your fracture in the upper arm (humerus)? After two failed surgeries with plate fixation, the use of intramedullary nails is a viable option, but it is crucial to ensure that the fixation is very secure. Additionally, bone grafting is necessary to promote bette...

Understanding Steroid Injections for Mom's Hand: Is a Lump Normal?

Corticosteroid injection therapy for De Quervain's tenosynovitis? Hello Doctor: I would like to inquire about my mother's condition after receiving a steroid injection for her "mommy's thumb." There is a subcutaneous lump about the size of a black bean th...

Dr. Shen Boquan Reply:
Hello, after your mother received a corticosteroid injection for her trigger finger, a subcutaneous lump about the size of a black bean has developed. It feels hard like bone upon touch. It is advisable to have your physician examine it, as it could be a ganglion cyst, an inflamm...

Understanding Tibial Fracture Recovery: To Remove Hardware or Not?

Tibial fracture Hello Doctor, my son is 23 years old and previously suffered a tibial shaft fracture in a car accident. He had titanium alloy implants with four screws for fixation, and it has been 1 year and 2 months since the surgery. During his follow-up visit, the physician m...

Dr. You Dianqi Reply:
Bone screws and plates are considered foreign objects in the body. Whether or not to surgically remove them depends on whether the patient experiences discomfort. If there is discomfort that affects daily life and work, it is recommended to follow up with the attending physician ...

Recovering from Fifth Metatarsal Fracture: When to Start Weight-Bearing?

Fracture of the fifth metatarsal bone; I want to recover quickly to walk again? Fracture of the base of the fifth metatarsal, treated with a cast for 5 weeks. I will have a follow-up appointment next week. Currently, I am doing some exercises at home that do not involve moving my...

Dr. Shen Boquan Reply:
Hello, regarding your fifth metatarsal base fracture, you have been in a cast for 5 weeks. Generally, bone healing takes about two to three months. I am not aware of your current condition, but your attending physician will provide you with some recommendations based on your situ...

Healing Time for Non-Displaced Fibula Fractures: What to Expect

How long does it take for a non-displaced closed fracture of the right fibula's lateral malleolus to heal? I had a fall due to a non-collision accident on May 14th, and I was hospitalized for 7 days. The doctor diagnosed me with a non-displaced closed fracture of the right f...

Dr. Zhan Xian Reply:
Fractures generally require a recovery period of about three months, but this can vary depending on the individual's condition and healing process. Please follow your physician's advice for treatment and follow-up appointments. If you have any concerns, it is advisable ...

Will Delayed Treatment of a Boxer's Fracture Affect My Keyboard Skills?

If a boxer experiences a fracture and delays seeking medical attention, will I still be able to type on the keyboard? Hello Doctor: After fracturing my fifth metacarpal, I didn't experience severe pain and thought it was just a sprain, which delayed my visit to the doctor fo...

Dr. Chen Yongxue Reply:
Each person's condition and recovery situation is different, so it is best to consult your attending physician for answers based on your X-ray results. Thank you.

Understanding Steel Plate Fractures in Orthopedic Surgery: Risks and Solutions

Dr. Shi Guozheng Reply:
You did not specify whether it is a humeral fracture or a fracture of another bone. If there is a dislocation, an X-ray can determine the fracture. After surgery, if the plate has broken again and there has been no subsequent surgery on the bone, the best option would be to suppl...

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