Bone, Orthopedics FAQ

Understanding Delayed Bone Healing After Open Fracture Surgery

Fracture healing issues? Hello Doctor, I was in a car accident at the end of last year and sustained an open and comminuted fracture of my right thigh, for which I had a steel plate implanted. I underwent three debridement surgeries, and now, five months later, during my last fol...

Dr. Shi Guozheng Reply:
Complete healing without any gaps is necessary before one can walk with strength. Stable bone support is essential for promoting bone growth. Comminuted fractures are typically more challenging to heal; however, if healing does not occur, one must consider whether to undergo bone...

Can an 11-Year-Old Return to Table Tennis After Wrist Fracture Surgery?

Distal radius fracture of the right wrist? Hello, Doctor: The patient is an 11-year-old child who underwent surgical fixation with a steel pin for a distal radius fracture in the right wrist two months ago. Now, two months post-operation, the X-ray shows good bone healing. May I ...

Dr. Shi Guozheng Reply:
An 11-year-old child typically has a shorter healing time compared to adults, so it is currently acceptable for them to engage in light exercise. Mild pain is considered normal.

Post-Tibial Fracture: Understanding Long-Term Effects and Recovery

Will there be any sequelae after a tibial fracture? Hello, Doctor. I apologize for bothering you, but I have a few questions. Two months ago, my friend suffered a left tibial shaft fracture (approximately 10 cm above the ankle) due to a car accident. During surgery, titanium allo...

Dr. Shi Guozheng Reply:
1. If the fracture has healed properly, there are usually no significant sequelae. 2. Removal is necessary only if there is irritation or if it affects joint mobility. 3. It is advisable to consume nutritious foods and ensure adequate calcium intake.

Can My Child Resume Table Tennis After Distal Radius Fracture Surgery?

Distal radius fracture of the right wrist? Hello, Doctor: The patient is an 11-year-old child who underwent surgical fixation with a steel pin for a distal radius fracture in the right wrist two months ago. The X-ray images show good bone healing at this point. May I ask if the p...

Dr. Shi Guozheng Reply:
If the fracture has completely healed and there is pain in the joint area, but joint movement is normal, then you can start exercising.

Understanding Spine Sounds: Are They Really Caused by Ice Consumption?

Spinal issues I would like to ask the doctor, I previously saw a physician who mentioned that the sound in the spinal bones is due to eating ice. However, my family members also experience this symptom without consuming ice. I would like to know if it is truly caused by eating ic...

Dr. Chen Bochen Reply:
Absolutely not.

Understanding Patellar Tendon Injuries: Surgical Options and Recovery

Patellar tendon On March 18, I was injured while riding a motorcycle and underwent debridement and patellar tendon repair surgery. I was sent to the hospital's emergency department and referred to the orthopedic department. During the debridement, it was found that the tendo...

Dr. Shi Guozheng Reply:
Consulting an orthopedic specialist is advisable, as the physician can reassess the situation. Typically, strength training can be effective for partially torn patellar ligaments.

Understanding Symptoms and Complications of Zygomatic Bone Fractures

What are the symptoms of a zygomatic bone fracture? Hello Dr. Chen, due to the increase in COVID-19 cases, I haven't gone for an X-ray. A few days ago, while at home with my child, I was accidentally hit on the right zygomatic bone. Currently, there are no symptoms of numbne...

Dr. Chen Bochen Reply:
Symptoms of a zygomatic bone fracture include swelling and pain. If a child hits their head, generally, applying ice for three days is sufficient, and even if there is a hairline fracture, it will typically heal on its own. However, if there are symptoms of drowsiness, weakness, ...

Understanding Femoral Fractures: Surgery vs. Natural Healing Options

Comminuted femoral fracture Hello, doctor. I was in a car accident on November 20, 2021, and was diagnosed with a comminuted femoral fracture. It has been nearly six months since then, and the X-ray shows that the newly formed bone has not completely covered the area, with a thin...

Dr. Shi Guozheng Reply:
Typically, a femoral fracture is considered to have delayed union if it has not healed after six months. However, it is important to assess the X-rays during follow-up to see if there is gradual bone growth. If there is no evidence of bone formation after several consecutive eval...

Understanding Hip Fractures in Elderly Patients: A Caregiver's Guide

Hip fractures in the elderly? I would like to ask the doctor: My mother is 75 years old and has osteoporosis. On April 15, 2022, she fell down the stairs after missing a step. She landed on her right side and was unable to get up by herself. After I helped her up, she said she wa...

Dr. Wang Shouji Reply:
Hello, hip fractures in the elderly can be categorized into two main types. If it is a femoral head fracture, it is often treated with a partial hip arthroplasty combined with bone cement, allowing for quicker recovery, and patients can usually bear weight and walk almost immedia...

Can Growth Hormone Therapy Help Increase Height in Preteens?

Bone age and growth height issues? Currently in sixth grade, the actual age is 12.5 years. Recently, the bone age was assessed to be 13.9 years. The height is 148.5 cm. There are some signs of voice change, but no Adam's apple or pubic hair development. Is there a chance of ...

Dr. Shi Guozheng Reply:
The height of children is related to genetics, meaning that the height of your parents is associated with your own height. Generally, the taller the parents, the more likely the children will be taller as well. It is not recommended to use medication to artificially enhance or de...

Ankle Injury: Persistent Swelling and Pain After Trauma

Ankle sprain? Hello, a few years ago I stepped on someone’s foot and my right foot rolled outward. It hurt so much that I thought I had broken a bone (it was probably quite serious, but I couldn't see a doctor at the time). Since then, I have frequently sprained my ankle, an...

Dr. Shi Guozheng Reply:
When a joint is newly injured and swollen, applying ice can help reduce the swelling. Additionally, immobilizing the joint (using a cast or brace) can also alleviate some pain. Most importantly, it is essential to see a physician for an evaluation.

Challenges in Healing Open and Comminuted Tibial Fractures: Surgical Options Explained

Open and comminuted fracture of the right tibia with poor fracture healing? Hello Dr. Wang, I was involved in a car accident on November 26, 2019, which resulted in an open and comminuted fracture of my right tibia. On December 2, 2019, Dr. A performed intramedullary nailing surg...

Dr. Wang Shouji Reply:
Hello, 1. Generally, it is not necessary to remove the intramedullary nail; using a steel plate for fixation carries a higher risk of plate fracture if healing does not occur. 2. It is important to assess the overall volume of the defect; if the volume is significant, there is...

Understanding Coccyx Pain: Rehabilitation and Treatment Options

Coccydynia (tailbone pain) issues? When riding a bike and getting up from a seated position, I experience pain in my coccyx. An X-ray showed no issues with the bones, but a rehabilitation doctor mentioned it is due to anterior pelvic tilt. Can I recover solely through rehabilitat...

Dr. Wang Shouji Reply:
Hello, it is recommended to apply more heat compresses, avoid sitting on hard chairs, and limit the use of stationary bicycles. Adjust your posture to avoid pressure on the coccyx. Changhua Hospital cares about your health. Wang Shou-ji.

Can You Still Grow Taller at 26? Exploring Height Increase Options

Is it still possible to grow taller? At 26 years old, with a height of 172 cm, it is unlikely that you will grow taller naturally, as most individuals reach their maximum height by their late teens to early twenties when the growth plates in the bones close. If you are aiming to ...

Dr. Wang Shouji Reply:
Hello, a 26-year-old male, the growth plates have been closed for a long time, so further height increase is unlikely. Changhua Hospital cares about your health. Wang Shou-ji.

Understanding Right AC Joint Dislocation: Symptoms, Recovery, and Medical Insights

Right shoulder acromioclavicular joint dislocation? Hello, I would like to ask if, at such slow speeds of only 13.5 km/h and 16.2 km/h, a right acromioclavicular (AC) joint dislocation would immediately result in the bone protruding at the moment of the incident? Is it possible t...

Dr. Chen Yongxue Reply:
Hello, in the acute phase of an acromioclavicular joint dislocation, the symptoms may not be very obvious and can often take weeks after the injury to be diagnosed. The pain is not as pronounced as with dislocations of other joints. Therefore, the movements you mentioned can stil...

Guidance Needed for Recovery from Middle Toe Amputation

Toe (middle toe amputation) Request for guidance! My factory driver accidentally injured his toe (middle toe severed). He has completed the wrapping and has been resting for over a month, but the bones are healing slowly. He is unable to drive for work, which is causing difficult...

Dr. Shi Guozheng Reply:
Fracture surgeries typically use internal fixation to allow the bones to heal, and currently, there are no adhesives available for use on fractures.

Understanding the Impact of a Small Bone Island on Health

The first rib has a bony island? I would like to ask about a finding in my company's health check that mentions a small nodule shadow overlapping the right first rib and the right upper lung field, suspected to be a bone island. What could be the implications of this? Thank ...

Dr. Chen Yongxue Reply:
Hello, most bone islands are asymptomatic and are usually discovered incidentally during X-rays. Generally, follow-up is sufficient. Thank you.

Can Teenagers Still Grow Taller? Insights on Height and Treatment Options

Adolescent growth spurts? Hello Doctor: I am a 16-year-old girl in the second year of high school, and I will turn 17 this summer. My current height is only 151 cm, and the last time I measured my height was in September 2020, when I was 149.5 cm. My father is 165 cm tall, my mot...

Dr. Li Wenhong Reply:
Hello: If you are experiencing concerns related to short stature, it is recommended that you visit a pediatric metabolism and endocrinology specialist to evaluate the possibility of growth hormone therapy. Dr. Li Wen-Hong, Orthopedics, Changhua Hospital.

Understanding X-Ray Findings in Chronic Back Pain: What to Know

Lumbar spine X-ray I apologize for the inconvenience, but I would like to consult with a physician. Due to long-term back pain, I was evaluated and suspected to have ankylosing spondylitis. I underwent X-ray examinations and genetic testing, and the results showed that I do not h...

Dr. Shen Boquan Reply:
Hello, there are many causes of lower back pain. According to statistics, 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress can all lead to discomfort. If the pain si...

Rehabilitation Tips After Cast Removal for Foot Fractures

Rehabilitation after cast removal? Doctor, I have fractures in the second, fourth, and fifth metatarsals of my right foot. I had a cast for a month, which has now been removed. An X-ray examination shows that the bone healing is progressing well, but I am currently experiencing s...

Dr. Chen Yongxue Reply:
Hello, one month after a fracture, most cases have not yet healed. If the attending physician believes that the cast can be removed, please avoid putting weight on it too soon. Instead, perform some joint movements while keeping it elevated. Additionally, frequently elevating the...

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