Bone, Orthopedics FAQ

Understanding Multiple Comminuted Fractures: Recovery and Rehabilitation Insights

Multiple comminuted fractures Hello, doctor. 🙇🏻‍♀️ I was in a car accident on the night of February 3rd, lost consciousness at the scene, and was taken to the hospital for emergency treatment. I was in a coma for three days and sustained multiple comminuted fractures, including i...

Dr. Shi Guozheng Reply:
1. Rehabilitation is necessary to gradually improve joint mobility. 2. It will take approximately six months or more.

Understanding Fifth Metatarsal Base Fractures: Treatment Options and Recovery

Base of the fifth metatarsal fracture? Hello Doctor, on March 1st, I sustained a lateral fracture of the base of the fifth metatarsal due to a fall. On March 16th, the fracture gap had widened, and the doctor recommended surgery to insert a screw, but also mentioned that I could ...

Dr. Wang Shouji Reply:
You can visit the outpatient clinic for evaluation, explanation, and examination.

Understanding Fifth Metatarsal Base Fractures: Treatment Options and Recovery

Base of the fifth metatarsal fracture? Hello Doctor, I sustained an injury from a fall on March 1st, and on March 2nd, an orthopedic evaluation diagnosed me with a fracture at the base of the fifth metatarsal. During my follow-up on March 16th, it was noted that the fracture gap ...

Dr. Chen Yongxue Reply:
Generally, fractures of the base of the fifth metatarsal typically do not require surgery. They usually heal well with approximately 8 to 10 weeks of cast immobilization, followed by about 4 to 6 weeks of rehabilitation after the cast is removed. However, a small number of patien...

Recovery Timeline for Ankle Fracture and Muscle Swelling After Car Accident

Left ankle fracture and swelling of the left calf due to a car accident? Hello, I apologize for the inconvenience. I sustained a fracture (hairline fracture) on the inner side of my left ankle, approximately 1 cm in length, due to a car accident on April 12, 2024. 1. How long w...

Dr. Chen Bochen Reply:
1. How long does it take to heal, and how can we determine if there is any displacement of the fracture? A fracture typically heals in 2-3 months with proper immobilization. An X-ray can help determine if there is any displacement. 2. Is it okay to use a heating pad for heat the...

Understanding Bone Graft Durability After Femoral Decompression Surgery

Femoral decompression with bone necrosis exposure? On the 23rd of this month, I underwent femoral decompression surgery, which was triggered by alcohol consumption. Two years ago, I had a failed decompression on my left leg, which resulted in a second total knee arthroplasty. The...

Dr. Shen Boquan Reply:
Hello, the ischemic necrosis of the femoral head decompression surgery may help alleviate pain. As for the addition of bone graft or artificial bone, whether it can delay or treat the necrosis of the femoral head, I apologize as I have not explored or tried this. If you have furt...

Chronic Coccyx Pain: Seeking Solutions After Nearly a Year of Discomfort

Coccyx pain for nearly a year? Hello, Dr. Shen. I have been experiencing pain in my coccyx since early May of last year. The pain is located about 2 centimeters above the tip of the coccyx, seemingly at the junction with the sacrum. The pain is triggered by certain positions, suc...

Dr. Shen Boquan Reply:
Hello, the causes of lower back pain are numerous. Statistics show that 90% of cases are related to soft tissue issues, commonly referred to as "muscle strain." Sports injuries, excessive fatigue, poor posture, or high stress levels can all contribute to discomfort. If ...

Understanding TFCC Injuries and Possible Distal Radioulnar Joint Dislocation

TFCC injury, uncertain if there is a distal radioulnar joint dislocation? Hello, doctor. I injured my right triangular fibrocartilage during weight training in mid-January. I have seen many doctors and changed hospitals several times. Most of them advised me to rest and observe, ...

Dr. You Dianqi Reply:
Hello, for minor injuries, you can use protective gear along with rehabilitation. If the injury is severe, surgical repair may be considered. It is advisable to return for a follow-up appointment and discuss this with your attending physician as soon as possible. Thank you.

Displaced Fourth Metatarsal Fracture: Surgery vs. Non-Surgery Outcomes

The difference between surgical and non-surgical treatment for a displaced fourth metatarsal fracture? Due to a fall from a height, a fracture of the fourth metatarsal in the right foot occurred, with an oblique displacement. Initially, a cast was applied in the emergency departm...

Dr. Shi Guozheng Reply:
A single metatarsal fracture with minimal displacement can be treated conservatively, and it will heal in the future; however, continuous outpatient follow-up is necessary.

Post-Tibial Osteotomy: Managing Infection and Surgical Concerns

Post-Tibial Osteotomy Surgery Hello: I underwent corrective surgery on my right leg on September 14, 2023 (using allograft bone and titanium alloy plate fixation). On January 25, February 7, and March 7, 2024, I experienced post-surgical wound infections and underwent wound debri...

Dr. Chen Yongxue Reply:
Infections are a frustrating complication, and if an infection occurs, the healing process of the bone will slow down. In principle, if the plate can be removed, controlling the infection after debridement will be easier. However, the section of the bone that needs correction wil...

Recovery After ACL and Tibial Plateau Fracture: When Can You Ride a Motorcycle?

Diagnosis: Tear of the anterior and posterior cruciate ligaments with associated fracture? I had a car accident on January 3rd this year, resulting in a tibial plateau fracture and tears of both the anterior and posterior cruciate ligaments. I underwent surgery where plates and s...

Dr. Chen Yongxue Reply:
Hello, riding a motorcycle is generally fine, but in case of an emergency situation, your affected limb may not be able to react in time. It is advisable not to attempt it before you are able to exercise properly. Thank you.

Understanding Fifth Metatarsal Fractures: Treatment and Recovery Insights

Fracture of the fifth metatarsal bone of the left foot? Hello Doctor: 1. On the evening of April 4th, I accidentally stepped into a gap in the hot spring pool and fractured the fifth metatarsal of my left foot. On the morning of April 5th, I went to the emergency department at ...

Dr. Chen Yongxue Reply:
Hello, 1. Surgery is not necessary. 2. Swelling will persist, as it is a fracture... Please elevate the affected limb (above the heart) to help reduce swelling. 3. Please use crutches under both armpits for mobility; do not put weight on the affected limb. 4. Initial heal...

Managing Ankle Fracture Recovery: Tips After Cast Removal

After the cast was removed for a fractured lateral malleolus, I accidentally bumped the affected area again? Hello, Doctor. I suffered a non-displaced fracture of the outer ankle on February 6 while abroad. The emergency physician said it didn't need to be immobilized, but t...

Dr. Shi Guozheng Reply:
1. It is best to schedule a follow-up appointment as soon as possible. 2. If the pain does not alleviate, there is a possibility of dislocation. 3. It takes three months to heal; the recovery speed is not necessarily slower. 4. Please refrain from exercising.

Effective Treatment Options for Finger Joint Pain After Injury

Pain at the distal interphalangeal joint of the fingers? Hello, doctor. I previously sustained a bruise from external force, initially thinking it was due to eating radishes. However, after two months of taking anti-inflammatory medication, undergoing rehabilitation, and receivin...

Dr. Shi Guozheng Reply:
Injuries to the wrist typically take a longer recovery time, usually over twelve weeks. Currently, you can continue with rehabilitation or apply heat therapy. If there is significant pain, you may intermittently take pain relievers to alleviate discomfort.

Long-Term Effects of Non-Surgical Treatment for Grade 2 Shoulder Dislocation

Is there any long-term consequence of a grade 2 acromioclavicular joint dislocation if it is not surgically treated? Hello, Doctor. I fell while running on March 27, 2024, and impacted my left shoulder, resulting in a Grade 2 acromioclavicular joint dislocation. I am currently wi...

Dr. Shi Guozheng Reply:
1. Changes in twenty years are difficult to predict; even an uninjured shoulder joint may undergo degeneration. 2. Grade II injuries may not require surgery. 3. Choosing surgery does not guarantee complete recovery.

Managing Fifth Metatarsal Fractures: Prevention and Treatment Insights

Metatarsal fracture Thank you, doctor, for answering my questions. I would like to ask if the reasons for the bone displacement in questions 1 and 2 could be due to the inability to bear weight even while wearing the protective footwear? What can be done to prevent displacement? ...

Dr. Shi Guozheng Reply:
Your X-ray shows a noticeable crack at the base of the fifth metatarsal, but there is no displacement. We will continue to monitor it. If it remains the same, it may heal, but if you twist it again, there is a possibility of displacement. It would be better to wear a brace.

Recovery Timeline and Rehabilitation for Right Foot Navicular Fracture

Closed fracture of the right navicular bone in the foot? I had a fall on the stairs on February 6, resulting in a fracture. I had my cast removed on March 8, but an X-ray still shows a small piece of bone missing. My foot is still very painful, and it starts to swell and hurt aft...

Dr. Shi Guozheng Reply:
It is possible to walk with an ankle brace, and typically, a fracture requires a recovery period of three months.

Managing Displaced Fifth Metatarsal Fractures: Brace Use and Recovery Tips

Displaced fifth metatarsal fracture and the use of a brace? Hello Doctor, I suffered a fifth metatarsal fracture from a fall on March 2nd. I started wearing the recommended protective shoe on March 4th after switching from a cast. However, during my follow-up appointment in the s...

Dr. Shi Guozheng Reply:
Conservative treatment can continue, but if healing does not occur, surgery will be necessary.

Understanding Knee Issues: Causes, Symptoms, and Dietary Solutions

Knee issues Hello Doctor, my joints in my hands and feet have been making noises more frequently over the past year. My knees also crack when I squat, and my shoulders make sounds when I stretch, but there is no pain. During a recent health check, the doctor mentioned that I have...

Dr. Shi Guozheng Reply:
If joints make sounds without accompanying pain, it is not a concern. Increase protein intake, perform some joint flexion exercises, apply heat, and keep the joints warm. A balanced diet is important.

12 Years Post-Meniscus Repair: Should I Strengthen My Leg or Get an MRI First?

Twelve years after meniscus repair surgery? Hello Doctor: I had a meniscus repair surgery 12 years ago due to a car accident. Since then, I have experienced several instances where my knee suddenly gave out, causing me to kneel down. I immediately arranged follow-up visits in Tai...

Dr. Chen Yongxue Reply:
It is recommended that you discuss with your current physician whether additional treatment interventions or rehabilitation maintenance are necessary. Thank you.

Understanding the Observation Period for Subtle Bone Fractures

Fracture observation period Hello Dr. Chen, I was in a car accident on February 21, and at that time, X-rays taken in the emergency room showed no issues with my bones. Is there an observation period for subtle bone cracks or fractures? If a bone were to crack or break, wouldn&...

Dr. Chen Bochen Reply:
The general observation period is two weeks. Some fractures may not be visible immediately after the injury. If there is no improvement after two weeks, it is advisable to consult an orthopedic specialist for a follow-up X-ray or CT scan.

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