Bone, Orthopedics FAQ - Page 18

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Understanding Crush Injuries: Recovery Insights for Foot and Leg Fractures

Bilateral foot crush fractures? Hello Doctor, I would like to ask about my condition. I suffered a fall from a height and have sustained comminuted fractures in both feet, as well as comminuted fractures in my right leg and tailbone, along with cauda equina syndrome. 1. I have ...


Dr. Shi Guozheng Reply:
Even while on bed rest, rehabilitation exercises can still be performed. If there is no movement, muscles can quickly atrophy.

[Read More] Understanding Crush Injuries: Recovery Insights for Foot and Leg Fractures


Understanding Ulnar Issues After an Accident: Common Questions Answered

Radial and ulnar bone issues (car accident) Q1: Can the ulnar styloid process be visually assessed for excessive prominence compared to the other hand? Q2: Can the ulnar styloid process be palpated to determine if it is deformed or normal? Q3: When I rotate my forearm, there ...


Dr. Zhan Xian Reply:
Hello, sir. Q1: Obvious protrusion can Q2: Physical examination can Q3-Q8: Require physical examination and imaging studies for assessment.

[Read More] Understanding Ulnar Issues After an Accident: Common Questions Answered


Understanding Ulnar Pain and Limitations After Distal Radius Fracture

Radius and ulna fracture, suspected distal radioulnar joint dislocation? Hello, Doctor. I was originally scheduled for a follow-up appointment on November 22, but I have unfortunately tested positive for COVID-19. I have some urgent questions that I would like to ask. First: Wh...


Dr. Zhan Xian Reply:
Hello Mr. Chang: There are many factors that can cause redness and swelling. Whether it is a reasonable situation needs to be assessed through a physical examination. Other issues cannot be evaluated without X-rays and a physical examination. It is recommended to avoid forearm ro...

[Read More] Understanding Ulnar Pain and Limitations After Distal Radius Fracture


Understanding Ulnar Fractures: Pain, Healing, and Recovery Insights

Radial and ulnar fractures Hello Doctor, I was supposed to have a follow-up appointment on November 22, but unfortunately, I tested positive for COVID-19. I have some urgent questions, so I would like to ask the following: First: What could be the reason for pain when pressing o...


Dr. Shi Guozheng Reply:
1. There will be tenderness as long as the fracture has not healed. 2. Excessive rotation can indeed be a risk. 3. Whether there is displacement can only be determined through an X-ray. 4. It will not heal automatically if there is displacement. 5. Have you had a cast app...

[Read More] Understanding Ulnar Fractures: Pain, Healing, and Recovery Insights


Slow Recovery from Fibula Fracture: Causes and Solutions

Fibula fractures heal slowly? Hello, doctor. I had a fibula fracture from a car accident nearly three months ago. It is a proximal closed fibula fracture located about 10 centimeters below the knee. I did not undergo surgery. For the first month, I used a long leg cast, and in th...


Dr. Chen Yongxue Reply:
Hello, 1) Will walking all day affect fracture healing? Are elastic bandages and compression stockings suitable for use? 2) For a typical fibula fracture that does not require surgery, how long does it usually take to see callus formation on X-rays? From the X-ray, does it see...

[Read More] Slow Recovery from Fibula Fracture: Causes and Solutions


Recovery Tips for Thumb Fracture: When to Start Rehabilitation

Right thumb (at the joint! Including the fractured parts of the thumb bone) Hello, I would like to inquire: I have a fracture at the joint of my thumb, which involved shattered joint bones. I had three steel pins, one steel plate, and possibly artificial bone placed during surger...


Dr. Chen Yongxue Reply:
Hello, after a fracture, there will be metal pins for fixation, which means you cannot bend the affected area. You can only start moving once the pins are removed. Please do not start activities too early, and it is advisable to consult your attending physician. Thank you.

[Read More] Recovery Tips for Thumb Fracture: When to Start Rehabilitation


Can I Still Grow Taller at 22? Exploring Limb Lengthening Surgery

At 22 years old, wanting to increase height is a common concern. However, it's important to Hello Dr. Shih, I am 22 years old. My father's height is 165 cm and my mother's height is 158 cm, while my height is 178 cm. I would like to grow to 180 cm. I regret staying...


Dr. Shi Guozheng Reply:
A height of 178 centimeters already exceeds the average height of the population, so I do not recommend undergoing height-increasing surgery. This type of surgery carries certain risks and complications. If not done properly, there can be numerous side effects, including infectio...

[Read More] Can I Still Grow Taller at 22? Exploring Limb Lengthening Surgery


Assessing Joint Stiffness After Surgery for Humeral Neck Fractures

After surgery for a closed fracture of the right humeral surgical neck involving four parts due to a car accident, an assessment is needed to determine the necessity for joint replacement? Will joint replacement cause complete joint stiffness?


Dr. Shi Guozheng Reply:
Typically, fractures of the humerus are best treated with surgical reduction and fixation whenever possible, as preserving the patient's own joint or bone is preferable. Only when repair is not feasible should total joint replacement be considered. Post-surgery, the range of...

[Read More] Assessing Joint Stiffness After Surgery for Humeral Neck Fractures


Understanding a Hard Bump on the Back of Your Head: Causes and Concerns

Swelling or protrusion at the back of the head? About a week ago, I noticed a swelling on the back of my head while touching it. I'm not sure if it's a lump or a protrusion of the occipital bone. It doesn't hurt or itch, and it feels hard.


Dr. Shi Guozheng Reply:
It should be a normal prominence located just below the center of the occipital bone.

[Read More] Understanding a Hard Bump on the Back of Your Head: Causes and Concerns


COVID-19 Symptoms: Can It Cause Tailbone Pain and Discomfort?

Symptoms of COVID-19 Can a doctor tell me if tailbone pain can occur with COVID-19? I didn't have these symptoms before, but they started after I got sick. I'm particularly concerned about a noticeable bump above my tailbone that I can feel. It makes it difficult to sle...


Dr. Shi Guozheng Reply:
COVID-19 can cause muscle soreness in the lower back and limbs, which should improve after recovery from the infection.

[Read More] COVID-19 Symptoms: Can It Cause Tailbone Pain and Discomfort?


Impact of Plate Fixation on Growth in Adolescent Forearm Fractures

Postoperative Care for Adolescent Radial and Ulnar Fractures Hello, I would like to ask about a 13-year-old adolescent who had an open fracture of the right radius and ulna on April 11 of this year. Surgery was performed on the same day to fix the fracture with a plate and screws...


Dr. Li Wenhong Reply:
Hello: Generally, in adolescents with radial and ulnar fractures, fixation with plates and screws avoids the growth plates and does not affect skeletal growth. The plates and screws are typically removed after about a year and a half, depending on the healing condition. It is rec...

[Read More] Impact of Plate Fixation on Growth in Adolescent Forearm Fractures


Understanding Fifth Metatarsal Fractures: Recovery and Treatment Options

Fifth metatarsal fracture Hello, doctor. I sustained a fifth metatarsal fracture due to exercise on September 21. The doctor assessed that surgery was not necessary and that I could use a splint instead. During my follow-up appointment on October 20, the doctor said I could try w...


Dr. Wang Shouji Reply:
Hello, with only a fifth metatarsal fracture, if there is no significant pain after one month, partial weight-bearing should not be a major issue. The likelihood of fracture displacement is minimal. Follow-up X-rays should be done once a month, and after three to four months of c...

[Read More] Understanding Fifth Metatarsal Fractures: Recovery and Treatment Options


Understanding Proximal Clavicle Fractures: Risks and Recovery Insights

Proximal clavicle fracture On August 17, I suffered a proximal clavicle fracture due to a car accident. Initially, the X-ray showed a complete fracture with minimal displacement, so the doctor recommended conservative treatment instead of surgery. After two or three follow-up vis...


Dr. Wang Shouji Reply:
Hello, if the fracture displacement is minimal and the healing process has not been significantly affected, after two months, the fracture should have undergone initial healing. You can continue to monitor it and wait for complete healing before starting rehabilitation therapy. C...

[Read More] Understanding Proximal Clavicle Fractures: Risks and Recovery Insights


Concerns About Hardware Removal After Tibia and Pelvis Fractures

Rehabilitation issues related to metal implants? Hello Dr. Wang! I was in a car accident on March 25 of this year, resulting in a fracture of my left tibia and a fracture of my left pelvis. I underwent surgery for internal fixation of the tibial fracture on April 14. It has been ...


Dr. Wang Shouji Reply:
Hello, for lower limb fractures, the internal fixation should be removed at least one to one and a half years later. There is no specific harm in removing the internal fixation, but please avoid vigorous exercise for one month post-surgery. Changhua Hospital cares about your heal...

[Read More] Concerns About Hardware Removal After Tibia and Pelvis Fractures


Non-Surgical Treatment for Fifth Metatarsal Fracture: Is It Effective?

Fracture of the right metatarsal bone? Hello, a family member accidentally stepped into a hole abroad, resulting in a fracture of the fifth metatarsal bone in the right foot. They are currently using a pneumatic walking boot instead of a cast. I would like to inquire whether non-...


Dr. Li Wenhong Reply:
Hello: If the displacement is not significant, conservative treatment can be considered without surgery. The proximal fifth metatarsal has the attachment of the peroneus brevis tendon, which can cause displacement or nonunion. If the patient is young and the surgical risks are lo...

[Read More] Non-Surgical Treatment for Fifth Metatarsal Fracture: Is It Effective?


Non-Surgical Options for Fifth Metatarsal Fractures: What You Need to Know

Fifth metatarsal fracture? Hello, doctor. I have attached my X-ray images. This is the current situation. The doctor here mentioned that surgery is basically optional, but the bone will grow in a misaligned direction, which may lead to subsequent pain. I would like to ask if it i...


Dr. Shi Guozheng Reply:
1. Surgery is possible. 2. There is no impact. 3. There are no issues with blood supply. 4. Bone spurs will not develop. 5. Surgery may not heal properly. 6. Surgery is not recommended.

[Read More] Non-Surgical Options for Fifth Metatarsal Fractures: What You Need to Know


Understanding Bumps on the Fourth Metatarsal: Bursitis or Corn?

Bilateral fourth metatarsal exostosis? Hello Doctor, I recently noticed a bump on the fourth metatarsal of both of my feet. It doesn't hurt when I press on it, but sometimes I experience mild aching pain after walking a lot. Blood tests have shown slightly elevated inflammat...


Dr. Shi Guozheng Reply:
Typically, bursitis is more likely to warrant a visit to a physician for an examination of the appearance or to obtain an X-ray to assess any relationship with the bones.

[Read More] Understanding Bumps on the Fourth Metatarsal: Bursitis or Corn?


Post-Surgery Pain and Concerns After Fifth Toe Surgery: What to Expect

Postoperative Issues Related to Fifth Toe Varus Deformity Hello, doctor. I underwent surgery for hallux valgus on my right foot on January 10th of this year, and then I had surgery on my left foot on July 11th. My question is, why do I still feel some tingling and cramping pain i...


Dr. Chen Bochen Reply:
Hello, after toe bone correction surgery, it is common to experience joint stiffness as well as tingling and sharp pain. This condition should improve with increased movement of the toe joints and by soaking in warm water or applying heat once the bones have healed. Wishing you a...

[Read More] Post-Surgery Pain and Concerns After Fifth Toe Surgery: What to Expect


Post-Surgery Pain and Concerns After Fifth Toe Surgery: What to Expect

Postoperative issues related to fifth toe varus deformity? Hello Doctor, I underwent surgery for the hallux valgus of my right fifth toe on January 10th of this year, and then I had surgery on my left foot on July 11th. My question is, it has been almost 9 months since the right ...


Dr. Chen Bochen Reply:
Hello, after toe bone correction surgery, it is common to experience joint stiffness as well as tingling and sharp pain. This condition can improve with increased movement of the toe joints and by soaking in warm water or applying heat once the bones have healed. Wishing you a sp...

[Read More] Post-Surgery Pain and Concerns After Fifth Toe Surgery: What to Expect


Should I See a Doctor for My Ankle Pain and Extra Bone?

Should I go to the hospital for this? I went to the clinic for an X-ray, and the doctor said that I have an extra small bone or a fragment in my foot. He mentioned that this could be due to my foot being frequently sprained without proper rehabilitation, which might be the reason...


Dr. Chen Bochen Reply:
Hello, the small bone on the inner side of your ankle that you often refer to is known as the accessory navicular bone. This is a common condition, and generally, it can improve with increased physical activity, soaking in warm water, and stretching. However, if you also have fla...

[Read More] Should I See a Doctor for My Ankle Pain and Extra Bone?


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