Understanding Complications and Treatment Options for Finger Fractures
Crush fracture of the distal phalanx of the right ring finger? Hello Dr. Zhan, due to a car accident, I have sustained a comminuted fracture of the distal phalanx of the right ring finger (middle segment). After cleaning the wound and the fragmented bone, it was sutured. Currentl...
Dr. Zhan Xian Reply:
Hello Mr. Chuo, this requires physical examination and imaging studies. Please visit the orthopedic outpatient clinic.[Read More] Understanding Complications and Treatment Options for Finger Fractures
Understanding Compression Fractures: Treatment Options and Concerns
Vertebroplasty for compression fractures? Hello Doctor, my father is 63 years old. Last month, he experienced severe back pain after lifting heavy objects. His daily activities remain normal, but when he lies down for a long time and tries to get up, the pain in his lower back pr...
Dr. Chen Bochen Reply:
1. Compression fractures are most painful when getting out of bed, sitting down, or standing up. 2. Bone stabilization with a brace typically takes close to two months to heal; however, if the pain is intolerable, vertebroplasty, commonly known as cement augmentation, can be co...[Read More] Understanding Compression Fractures: Treatment Options and Concerns
Understanding the Severity of Right Distal Radius Fractures: Surgical Necessity
Distal right radius comminuted fracture issues? Dear Dr. Shih Kuo-Cheng, The patient has already undergone X-ray imaging at another medical facility, which diagnosed a "right distal comminuted radius fracture." However, due to strong objections from the family against ...
Dr. Shi Guozheng Reply:
The best treatment method for a distal radius comminuted fracture is open reduction and internal fixation with bone screws, as this yields the best results. If conservative treatment is chosen instead of surgery, it is likely that surgery will still be necessary in the future, wh...[Read More] Understanding the Severity of Right Distal Radius Fractures: Surgical Necessity
Can a Motorcycle Accident Cause Rib Fractures and Pneumothorax Without Direct Impact?
Regarding the car accident, the other party's medical report indicates rib fractures and pneumothorax? Hello, doctor. I would like to ask a question regarding an accident. In a T-bone motorcycle collision involving two motorcycles, where neither the vehicles nor the riders f...
Dr. Zhan Xian Reply:
Hello Mr. Tsai, rib fractures from a car accident are possible. Whether hospitalization and surgery are necessary depends on the condition of the fracture, the presence of pneumothorax, and whether there are any other associated injuries.[Read More] Can a Motorcycle Accident Cause Rib Fractures and Pneumothorax Without Direct Impact?
Persistent Pain After Bone Spur Surgery: Seeking Answers and Relief
Bone spurs have been surgically removed over a year ago? My mother had surgery for bone spurs over a year ago, but she still experiences pain in her bones all over her body, along with numbness in her hands, dizziness, and lower back pain. We have consulted both traditional Chine...
Dr. Wang Shouji Reply:
Hello, whether there are new lesions depends on the symptoms and if they are the same as before, or if there are new symptoms. After spinal surgery, nerve pain usually decreases, but numbness and weakness may take longer to recover or may not fully recover, depending on the condi...[Read More] Persistent Pain After Bone Spur Surgery: Seeking Answers and Relief
Knee Pain After Car Accident: Seeking Effective Treatment Options
After the car accident, the pain in the back and inner side of the knee has been increasing and becoming more severe? Hello, my mother is 69 years old. At the end of August this year, she was involved in a car accident and was hospitalized. At that time, she immediately reported ...
Dr. Chen Yongxue Reply:
Hello, if there are significant changes in the patient's condition before and after the injury, it is likely that some trauma exists. X-rays can only reveal bone-related issues, and their ability to assess soft tissue is quite limited. It is recommended to return to the orig...[Read More] Knee Pain After Car Accident: Seeking Effective Treatment Options
Is It Normal to Feel the Coccyx Through the Vaginal Wall?
The coccyx can be palpated through the vaginal canal? A few months ago, I had a fall and experienced pain in my coccyx, but the pain subsided after a few days, and I didn't seek further medical attention. Today, I noticed that I can feel the coccyx bone through the posterior...
Dr. Chen Bochen Reply:
Hello, the vagina is separated from the coccyx by the rectum, and the distance is quite significant. What you are feeling is likely not the coccyx. The soreness you are experiencing may be due to ligament strain. It is advisable not to do this frequently, as it could lead to infl...[Read More] Is It Normal to Feel the Coccyx Through the Vaginal Wall?
Convincing a Reluctant Parent to Seek Medical Help for Wrist Injury
My mother has a dislocated wrist but refuses to seek medical attention? Hello, doctor! My mother was injured in a car accident at the end of July. She not only refused to go to the emergency room but also does not want to see a Western medicine doctor, insisting instead on treatm...
Dr. Zhan Xian Reply:
Hello Mr. Chen, I understand your concerns for your mother after reading your description. If there is visible deformity in her wrist following the injury, it often indicates a fracture, which requires an X-ray for confirmation. Since it has already been three months, she may hav...[Read More] Convincing a Reluctant Parent to Seek Medical Help for Wrist Injury
Understanding Radial Bone Displacement After Surgery in Children
Displacement after surgery for a radius fracture? Hello Doctor, my daughter is about to turn nine years old. A month ago, she underwent minimally invasive surgery for a fracture of the radial bone in her elbow (the X-ray at that time showed that the radial bone was repositioned)....
Dr. You Dianqi Reply:
Hello, children's fractures can tolerate greater degrees of displacement and angulation due to their enhanced remodeling capacity. From your description in the article, it seems that your attending physician is not overly concerned. I think you should be able to relax a bit,...[Read More] Understanding Radial Bone Displacement After Surgery in Children
Will Long-Term Cast Positioning Affect Recovery from Radial Fracture?
Cast immobilization for a radial fracture? Hello doctor, I have a fracture at the elbow of my right radius due to a fall, and my right arm has been in an L-shaped position in a cast for a month. Will my hand be unable to straighten out after recovery due to the prolonged L-shaped...
Dr. Zhan Xian Reply:
Hello, sir. Your issue requires an X-ray interpretation. You can visit our orthopedic outpatient clinic or follow up with the physician who originally treated you.[Read More] Will Long-Term Cast Positioning Affect Recovery from Radial Fracture?
Understanding Coccydynia: What to Do About a Tailbone Lump
Coccygeal mass I seem to have an unusually long coccyx, which I can feel when sitting. About five or six years ago, I discovered a lump below the coccyx that is neither painful nor itchy, but it is located on the left side of the gluteal cleft, causing some asymmetry. I visited a...
Dr. Chen Bochen Reply:
Hello, if a tumor exceeds 4 centimeters, it is recommended to follow up every five years. If there are symptoms such as rapid growth, pain, or inflammation in the short term, it is important to seek medical attention sooner.[Read More] Understanding Coccydynia: What to Do About a Tailbone Lump
Understanding Bone Pin Migration: Challenges and Solutions in Orthopedic Care
Bone screw displacement issue (unable to remove)? Hello Doctor, 1. In January of this year, I underwent surgery for a fracture of the fourth toe on my right foot, where a bone screw made of a bioabsorbable material was inserted, which does not require removal through another su...
Dr. Chen Bochen Reply:
Hello, 1. Typically, the hospitalization for the removal of bone screws lasts about two days, and there is no need for a recovery period. Just make sure to keep the wound dry and avoid covering it tightly. 2. It's okay if the bone screw cannot be located; usually, partial...[Read More] Understanding Bone Pin Migration: Challenges and Solutions in Orthopedic Care
Understanding Lateral Ankle Ligament Displacement After Injury
Lateral ankle ligament displacement Since I injured my ankle after playing basketball, I have noticed a prominent bump on the outer side of my ankle where the ligaments seem to be protruding over the ankle bone.
Dr. Chen Bochen Reply:
Hello, Huang. I recommend that you apply ice to the injury for one week and wear an ankle brace for three weeks. If the symptoms you described do not improve, you should see an orthopedic or rehabilitation physician for an evaluation. Wishing you a speedy recovery.[Read More] Understanding Lateral Ankle Ligament Displacement After Injury
Understanding Bone Callus Formation After Fractures: What to Expect
Bone fracture proliferation Is it common for a bone fracture to result in bone proliferation? Will there always be a noticeable bump when touched, or can immobilization with a cast prevent this?
Dr. Chen Yongxue Reply:
Hello, does a bone fracture always result in bone growth? For instance, if you can feel a bump when you touch it? Answer: If by "growth" you mean the formation of new bone at the fracture site, it typically requires immobilization to facilitate healing. If there is a no...[Read More] Understanding Bone Callus Formation After Fractures: What to Expect
Understanding Misaligned Screws or Plates: What to Do Next?
The steel nail or steel plate is slightly misaligned? Today, during my follow-up appointment, I had an X-ray taken. The doctor mentioned that my metal rod or plate (I can't remember which) is slightly misaligned and asked if I had accidentally stepped on it. I told him that ...
Dr. Chen Bochen Reply:
Hello, your question actually requires an X-ray for a more accurate answer. In the case of a lower limb fracture with a steel plate, there are typically 3-4 screws (or bolts) at each end. If fewer than two screws remain intact, there is a risk that surgery may be needed again. Ho...[Read More] Understanding Misaligned Screws or Plates: What to Do Next?
Addressing Issues with Distal Humerus Fracture and Hardware Removal
Distal humeral fracture screw removal issues? Hello Doctor, I was in a car accident on June 2nd of this year, which resulted in a distal humerus fracture in my left arm. On June 3rd, I underwent surgery where two plates and eight screws were inserted to stabilize my upper arm, an...
Dr. Shi Guozheng Reply:
After the removal of bone screws, joint mobility may improve slightly, but the sensation of stiffness may not necessarily improve. If there are two bone plates fixed, removing them simultaneously may sometimes lead to re-fracture; therefore, it is reasonable to perform the remova...[Read More] Addressing Issues with Distal Humerus Fracture and Hardware Removal
Rehabilitation After Patellar Fracture Screw Removal: Key Recovery Tips
Rehabilitation after screw removal surgery for patellar fracture? Hello, doctor! I have a patellar fracture in my knee due to a car accident, which broke into three large pieces and several smaller fragments. I had a health insurance-covered surgery with bone screws, but the firs...
Dr. Chen Bochen Reply:
Hello, regarding the general conditions after a patellar fracture, the decision about your personal situation should be made by your surgeon based on the surgical status, X-rays, and physical examination. (1) After the removal of the screws, when can I bend my knee to 90 degree...[Read More] Rehabilitation After Patellar Fracture Screw Removal: Key Recovery Tips
Delayed Wound Healing After Surgery: When to Seek Further Medical Attention?
The wound has not healed two weeks after surgery? Two weeks ago, I was involved in a car accident and sustained a tibial fracture, with some comminution of the adjacent small bone, and there was a puncture wound through the skin. Surgery was performed on the day of the accident, ...
Dr. Chen Bochen Reply:
1. Comminuted fractures and open fractures typically have a slower healing process due to the nature of the wounds. 2. If there are concerns about wound infection, it is advisable to change the dressings two to three times a day. 3. If you feel that the wound is worsening, co...[Read More] Delayed Wound Healing After Surgery: When to Seek Further Medical Attention?
Understanding Shoulder Pain: Causes, Treatments, and When to Seek Help
Shoulder pain? Hello doctor, my right shoulder has been occasionally sore since May and June, but it would feel better the next day. In early July, I woke up one day with sudden soreness, so I went to the hospital for an X-ray. The doctor said the bones looked normal and it might...
Dr. Chen Bochen Reply:
Hello Wenwen: If frozen shoulder lasts for more than three months, the success rate of treatment through rehabilitation alone is very low. It is recommended to consider the "New Joint Mobilization Technique," which includes many successful treatment cases for frozen sho...[Read More] Understanding Shoulder Pain: Causes, Treatments, and When to Seek Help
Understanding Pubic Bone Fractures: Symptoms and Relief Strategies
Pubic bone fracture Two months ago, I suffered a right pubic bone fracture due to a car accident. I have been taking pain medication to alleviate the discomfort. Recently, during a follow-up appointment, my attending physician mentioned that there is some slight healing. However,...
Dr. You Dianqi Reply:
Hello! It is advisable to consult your attending physician. Thank you![Read More] Understanding Pubic Bone Fractures: Symptoms and Relief Strategies