Understanding Elbow Injuries: Managing Ulnar Fractures After a Car Accident
Elbow fracture due to a car accident? Hello Doctor, I sustained an injury to my right wrist during a car accident when I landed on it, resulting in a small fracture at the tip of the right ulnar bone (approximately the size of a grain of rice) that is displaced, along with a frag...
Dr. Shi Guozheng Reply:
Typically, when a wrist injury occurs, the tip of the ulnar side has ligament attachments. If there is a fracture, it often accompanies ligament injuries. Generally, conservative treatment over six weeks to three months will lead to healing, and small fragments do not necessarily...[Read More] Understanding Elbow Injuries: Managing Ulnar Fractures After a Car Accident
Understanding Patellar Tendonitis and Cartilage Issues in the Knee: A Comprehensive Guide
Patellar tendinitis and irregularities in the cartilage on the posterior aspect of the knee? Hello, doctor. I currently have a knee joint issue and would like to consult you. Two months ago, I fell off my bicycle (I realized my shoes were still clipped in when I stopped, and I fe...
Dr. Shi Guozheng Reply:
Knee injuries can lead to swelling or pain within three months. If the cartilage of the patella is damaged, activities such as going up and down stairs or squatting may be painful or difficult. It is important to check for any displacement of the patella, which can be assessed th...[Read More] Understanding Patellar Tendonitis and Cartilage Issues in the Knee: A Comprehensive Guide
Unexplained Neck Sounds After Sports: Causes and Solutions
Experiencing unusual sounds when turning your head after exercise? On the evening before the Dragon Boat Festival holiday (June 18), after finishing at the batting cage, I noticed that when I turned my head to the left beyond a certain degree, it would make a "pop" soun...
Dr. Huang Minxu Reply:
Hello: In general outpatient clinics, the primary concern regarding joint sounds during movement is whether they are accompanied by pain. Common causes may include the presence of gas bubbles within the joint that change size during movement, resulting in sound. Based on your des...[Read More] Unexplained Neck Sounds After Sports: Causes and Solutions
Understanding Patellar Dislocation and Cartilage Damage: Treatment Options
Patellar dislocation with chondromalacia? Hello, Dr. Yeh. At the beginning of this year, while I was rushing to take out the trash at home, I suddenly stopped at a corner, and my right foot remained on the ground. My knee immediately started to hurt. Initially, there was some swe...
Dr. Ye Qingnian Reply:
Hip bone softening is a precursor to arthritis, as improper positioning of the hip can lead to cartilage wear in the knee joint. Rehabilitation therapy is crucial, and it can be done at home. Lie flat and extend one leg straight up, performing 100 repetitions, then switch to the ...[Read More] Understanding Patellar Dislocation and Cartilage Damage: Treatment Options
Understanding ACL Tears: MRI Interpretation and Treatment Options
Interpretation of MRI Images for Anterior Cruciate Ligament (ACL) Tear Dear Director, I would like to ask about my left knee, specifically regarding the anterior cruciate ligament (ACL) tear as shown in the MRI. 1. In Photo 1, is the area circled in red indicative of a "c...
Dr. Shi Guozheng Reply:
It is not possible to interpret your imaging results. You may request a formal report from the radiology or medical imaging department regarding the examination you underwent. The thermal shrinkage you mentioned in relation to arthroscopic surgery may refer to a procedure involvi...[Read More] Understanding ACL Tears: MRI Interpretation and Treatment Options
Understanding Treatment Options for ACL Injuries: A Comprehensive Guide
Treatment of Anterior Cruciate Ligament (ACL) Injuries Hello Doctor: I had a motorcycle accident on May 20, resulting in abrasions on my left knee and tightness in the muscles on the posterior side. For the first three weeks, I received traditional Chinese medicine treatment with...
Dr. Shi Guozheng Reply:
In the case of a cruciate ligament injury, if it is not a complete tear, there is a chance for healing. However, the stability after healing needs to be further assessed. If the stability is inadequate, it may affect function, making surgery necessary. An MRI should be performed ...[Read More] Understanding Treatment Options for ACL Injuries: A Comprehensive Guide
Understanding PRP Injections for Osteoarthritis in Elderly Patients
Regarding the issue of injecting high-concentration platelet-rich plasma in patients with degenerative knee osteoarthritis? My mother is 78 years old and has a history of hypertension. The cartilage in both of her knee joints has worn down or is no longer present. She sometimes e...
Dr. Shi Guozheng Reply:
The effects can last approximately nine months to a year. After PRP injection, a follow-up appointment is required in about two weeks to assess the level of improvement. Medications can also be used as adjunctive therapy. Subsequently, follow-up visits should occur every one to t...[Read More] Understanding PRP Injections for Osteoarthritis in Elderly Patients
Patellar Chondromalacia: Recovery Tips for Runners
Patellar chondromalacia Hello Doctor: After hiking, I experienced pain in my knee when bending or jogging. I saw a doctor who diagnosed me with patellar chondromalacia and recommended rehabilitation exercises for a month. After completing the rehabilitation, can I return to runni...
Dr. Wang Shouji Reply:
Patellar chondromalacia is a condition characterized by a structural issue where the cartilage has poor resistance to pressure and is more prone to inflammation. Running generally does not have a significant impact, but activities such as squatting, hiking, and climbing stairs ca...[Read More] Patellar Chondromalacia: Recovery Tips for Runners
Managing Post-Fracture Recovery: Tips for Preventing Arthritis After a Radial Head Injury
Radial head comminuted fracture (Mason type III) Hello, Doctor. I was in a car accident on November 26, resulting in a comminuted fracture of the left radial head. The physician diagnosed it as a Mason Type III fracture, which required surgical intervention to insert a steel plat...
Dr. Shi Guozheng Reply:
Your maintenance methods may potentially delay the onset of arthritis. Additionally, some suggest that taking glucosamine may improve conditions, as it can promote cartilage growth. In the event that degenerative arthritis does occur, high-concentration platelet-rich plasma (PRP)...[Read More] Managing Post-Fracture Recovery: Tips for Preventing Arthritis After a Radial Head Injury
Understanding Knee Friction: Causes and Solutions for Discomfort
There is a sensation of foreign body friction in both knees while walking? Hello Doctor: My knees protrude more when bent, and even a light tap causes significant pain. This symptom has persisted for many years (previously, a doctor advised me to avoid bumping into them). However...
Dr. Wang Shouji Reply:
Hello: The former is likely related to prepatellar bursitis on the outer side of the knee, and it is advisable not to touch it, as the symptoms are minimal and do not require treatment. The latter is associated with patellofemoral arthritis, which may be caused by wear and tear, ...[Read More] Understanding Knee Friction: Causes and Solutions for Discomfort
Understanding Knee Crepitus: Causes and Treatment Options
Knee cartilage wear with crepitus? Hello, I recently suffered a ligament strain while playing basketball. Initially, I couldn't bend my right leg fully, and there was a small popping sound. Since I had no issues with daily activities, I continued to play. The next day, my ra...
Dr. Shi Guozheng Reply:
Your treatment has been proactive and has shown improvement, but the body's recovery takes a certain amount of time. Typically, injured tissues require more than six weeks to gradually heal, and in more severe cases, it may take up to three months. The treatment you have rec...[Read More] Understanding Knee Crepitus: Causes and Treatment Options
Understanding Recovery from Pubic Bone Fracture: Key Questions Answered
Orthopedic issues I would like to consult regarding orthopedic issues. I sustained a fracture of the right pubic bone due to a car accident, and it has been a month since the injury. I returned to the hospital for a follow-up X-ray, and the doctor mentioned that cartilage has sta...
Dr. Shi Guozheng Reply:
A fracture of the dental bone typically heals in about three months. Once healed, it is unlikely to re-fracture. Normal activities can be resumed, including bending and straightening the knee, as well as childbirth or sexual intercourse, which will not be affected after the fract...[Read More] Understanding Recovery from Pubic Bone Fracture: Key Questions Answered
Understanding Distal Radioulnar Joint Dislocation: Treatment Options Explained
Distal radioulnar joint dislocation Thank you very much for your response, Director. A doctor from a major hospital mentioned that a new surgery is needed for treatment. If there is cartilage damage and significant pain, ultimately, fusion of the joint may be required. However, w...
Dr. Shi Guozheng Reply:
Surgery can be avoided if the joint has not yet been completely damaged. If fusion surgery is necessary, it will certainly result in a significant limitation of joint mobility. Detailed surgical methods and procedures should be thoroughly discussed with the surgeon.[Read More] Understanding Distal Radioulnar Joint Dislocation: Treatment Options Explained
Understanding Distal Radioulnar Joint Dislocation: Treatment Options and Risks
Distal radioulnar joint dislocation Dear Dr. Chen, I have a wrist joint dislocation that was delayed in reduction by a martial arts school. An X-ray taken by an orthopedic doctor indicated that it is a distal radioulnar joint dislocation that has not been reduced, and it has been...
Dr. Chen Yongxue Reply:
Hello, when facing a distal radioulnar joint dislocation, it is important to check for associated fractures, triangular fibrocartilage complex injuries, or tendon dislocations. A professional physician and radiological examination are necessary for further evaluation. Distal radi...[Read More] Understanding Distal Radioulnar Joint Dislocation: Treatment Options and Risks
Effective Strategies for Improving Knee Flexion After Surgery
The left knee joint cannot bend fully, currently bending to about 100 degrees? Over a month ago, I underwent arthroscopic surgery on my left knee to remove synovial membrane hyperplasia. The doctor advised me not to bend my knee for two weeks to prevent further hyperplasia. Curre...
Dr. Chen Yongxue Reply:
Hello, arthroscopic surgery has diagnostic and therapeutic effects and is currently the most direct and effective method for diagnosing knee joint surfaces. Therefore, if individuals suspect issues with cartilage or cruciate ligaments, they should consult the operating physician....[Read More] Effective Strategies for Improving Knee Flexion After Surgery
Understanding Knee Cartilage Issues: Symptoms and Improvement Strategies
Knee cartilage I would like to ask about a friend who experienced knee pain and consulted a doctor. The doctor informed her that the cartilage in her knee is uneven, with one side larger than the other, which is congenital. I would like to know what this condition is classified a...
Dr. Chen Yongxue Reply:
In general, knee problems require a physical examination first, and depending on the situation, further diagnostic imaging such as X-rays or MRI may be utilized for differential diagnosis. If the information provided is not firsthand, it may be difficult to make such judgments. P...[Read More] Understanding Knee Cartilage Issues: Symptoms and Improvement Strategies
Understanding Hip Clicking: Is It a Sign of Ankylosing Spondylitis?
Ankylosing Spondylitis Hello doctor, three months ago I experienced lower back pain after lifting heavy objects, and during an incidental examination, I was found to have the HLA-B27 gene associated with ankylosing spondylitis. However, after examination, the doctor determined th...
Dr. Shi Guozheng Reply:
Ankylosing spondylitis does not cause joint crepitus. Crepitus in the hip is unrelated to hip joint necrosis. It occurs due to the fibrosis and subsequent stiffness of the gluteus maximus muscle, which produces a sound as it glides over the greater trochanter of the femur. This s...[Read More] Understanding Hip Clicking: Is It a Sign of Ankylosing Spondylitis?
Understanding Elbow Fractures: Surgery and Hyaluronic Acid Injections
Elbow Fracture (Part II) Hello, Doctor! Thank you for your previous response! I am currently continuing with outpatient treatment, but the rehabilitation results are still not satisfactory. My left arm can bend normally but cannot reach my shoulder; it can extend to about 160 deg...
Dr. Shi Guozheng Reply:
Continuous rehabilitation is necessary; hyaluronic acid may not necessarily improve joint mobility. It primarily serves to lubricate the surface cartilage and has some effect in delaying the progression of osteoarthritis.[Read More] Understanding Elbow Fractures: Surgery and Hyaluronic Acid Injections
Understanding Patellar Issues: Symptoms, Concerns, and Treatment Options
Patellar issues Hello Doctor: I recently had a job that required prolonged standing, and I noticed that my patella has become increasingly loose and can move side to side easily. I experience soreness after walking for a long time, hear a sound when I straighten my leg, and feel ...
Dr. Chen Yongxue Reply:
Hello: 1. Yes. 2. No. 3. It is recommended that you visit an orthopedic outpatient clinic for a medical examination and evaluation by a physician. Thank you![Read More] Understanding Patellar Issues: Symptoms, Concerns, and Treatment Options
Understanding Hand Injuries After a Car Accident: Causes and Recovery Tips
In a car accident, I sprained my hand? Last year, I had a car accident that resulted in a wrist sprain. The doctor confirmed that the bones were fine. For the first two months, I underwent electrical therapy and topical treatments with traditional Chinese medicine, which helped m...
Dr. Wang Shouji Reply:
Hello: The wrist joint is a complex joint formed by multiple bones and the radius and ulna. Injuries often leave varying degrees of sequelae. The possibilities you mentioned do exist, and treatment will depend on your symptoms. A tear of the triangular fibrocartilage may require ...[Read More] Understanding Hand Injuries After a Car Accident: Causes and Recovery Tips