Managing Proximal Fibula Fractures: Recovery Tips and Concerns
Fibula fracture issues? You have a proximal fibula oblique fracture that has been present for one week. You are currently using a brace designed for anterior cruciate ligament (ACL) injuries, which allows for a 30-degree flexion. However, you experience a sensation of bone grindi...
Dr. Zhan Xian Reply:
Proximal fibula fractures are typically managed conservatively, although the decision may depend on the degree of displacement. It is recommended to keep the ankle at approximately 90 degrees during rest, to rest frequently, to avoid prolonged walking, and to refrain from smoking...[Read More] Managing Proximal Fibula Fractures: Recovery Tips and Concerns
Understanding Fibula Fractures: Treatment Options and Recovery Timeline
Fibula fracture I had a car accident about a week ago that resulted in a simple fibula closed oblique fracture, located approximately 7 to 8 centimeters below the knee. On the first day, I was treated with a cast for external fixation and no other treatment. The next day, I retur...
Dr. Li Yongheng Reply:
Hello, a 19-year-old male with a proximal fibula fracture. The treatment method of using a knee brace for protection and bilateral crutches for ambulation is feasible, and the brace can be removed after 4 weeks for independent walking. Generally, proximal fibula fractures do not ...[Read More] Understanding Fibula Fractures: Treatment Options and Recovery Timeline
Understanding Posterior Cruciate Ligament Injuries: Surgery or Self-Healing?
Tear of the posterior cruciate ligament with associated fracture? A month ago, I fell off my bike due to slippery road conditions while braking. I went to the hospital for X-rays and an MRI. During my follow-up appointment today, the doctor said that I have a piece of bone pulled...
Dr. Shi Guozheng Reply:
If there is a displacement, it is best to undergo surgery, as it is difficult for the joint to heal in its original position afterward. In such cases, the ligaments may become too lax, leading to anterior-posterior instability of the joint without surgery. After the surgery, a re...[Read More] Understanding Posterior Cruciate Ligament Injuries: Surgery or Self-Healing?
Understanding Revision Surgery for Posterior Cruciate Ligament Reconstruction
Reconstruction of the posterior cruciate ligament? Hello Doctor: I underwent a posterior cruciate ligament (PCL) reconstruction in January of last year. Due to various factors, the ligament has become lax. During my recent follow-up, the doctor suggested that I undergo another re...
Dr. Li Yongheng Reply:
Hello, 1. The recovery period for artificial ligaments is relatively fast, but they must be paid for out of pocket, and there are concerns regarding their lifespan due to wear and tear. 2. Technically, it is possible to overcome this by not having to remove the original screws fi...[Read More] Understanding Revision Surgery for Posterior Cruciate Ligament Reconstruction
Understanding Mild Knee Pain: Possible Causes and Solutions
Mild knee pain? I've been experiencing some soreness in my knee over the past couple of days. Could it possibly be related to the following issues: 1. I previously had an injury to my anterior cruciate ligament (ACL) but did not seek any treatment. 2. My growth plates have f...
Dr. Shi Guozheng Reply:
The closure of growth plates is not related to knee pain. If a person experiences rapid growth during puberty, the ligaments may be stretched, leading to growing pains. A tear in the anterior cruciate ligament (ACL) can cause anterior-posterior instability in the knee, resulting ...[Read More] Understanding Mild Knee Pain: Possible Causes and Solutions
Understanding Fracture Severity and Healing Time After Injury
How to assess the severity of a fracture and the healing time for fractures? Hello Dr. Chen: I was involved in a car accident on January 17, 2019, resulting in a comminuted fracture of my thigh, a comminuted and open fracture of my lower leg, and a torn posterior cruciate ligamen...
Dr. Chen Yongxue Reply:
Hello, it seems that you have sustained a severe injury with a comminuted fracture of the femur and an open fracture of the tibia, along with a torn posterior cruciate ligament. Comminuted fractures are generally worse than simple linear fractures, and open fractures are more ser...[Read More] Understanding Fracture Severity and Healing Time After Injury
Understanding Patellar Pain and Indentation After Knee Surgery
There is a depression in the patella that causes sharp pain upon pressure? Hello, Doctor. I suffered a ligament tear and a meniscus tear due to a car accident and underwent reconstruction surgery. It has been over a year since the surgery, but I still experience sharp pain when p...
Dr. You Dianqi Reply:
Hello, I would like to ask you if you used the patellar tendon for your anterior cruciate ligament reconstruction. If so, it is indeed possible for some individuals to experience postoperative complications. As for patellofemoral chondromalacia, the typical symptoms include disco...[Read More] Understanding Patellar Pain and Indentation After Knee Surgery
Understanding Knee Instability After ACL Reconstruction: Causes and Solutions
Knee instability after anterior cruciate ligament reconstruction? Dear Doctor, Happy New Year! I underwent anterior cruciate ligament reconstruction surgery on December 12, 2018, and it has been nearly 9 weeks since the procedure. My knee joint is still somewhat swollen. Currentl...
Dr. You Dianqi Reply:
Happy New Year, Prince Lode! You underwent reconstruction surgery for your right knee anterior cruciate ligament on December 12, 2018. There is still some swelling in your knee joint, and your main concern is the persistent feeling of looseness, which is similar to what you exper...[Read More] Understanding Knee Instability After ACL Reconstruction: Causes and Solutions
Understanding Cartilage Recovery Time and Assessment After Surgery
Cartilage healing time and condition assessment? Hello, Doctor. In August 2017, I suffered a sports injury that resulted in a torn anterior cruciate ligament (ACL) in my left leg, along with a meniscal tear. After surgery, the ACL healed well, but I continued to experience pain i...
Dr. Li Yongheng Reply:
1. Recovery typically takes six months. 2. It is not certain; it could be normal, or there may still be issues with the meniscus. 3. Strenuous exercise should be avoided for at least one year. 4. It depends on the specific circumstances at that time.[Read More] Understanding Cartilage Recovery Time and Assessment After Surgery
How to Differentiate Between ACL and MCL Injuries in Your Knee
I would like to confirm whether it is an injury to the anterior cruciate ligament (ACL) or the medial collateral ligament (MCL)? Hello, doctor. I sprained my knee on December 16. At that time, I was able to walk and immediately had an X-ray done, which showed no major bone issues...
Dr. Zhan Xian Reply:
The mechanism of injury for anterior cruciate ligament (ACL) tears often involves forces of valgus, external rotation, and hyperextension. Acute symptoms frequently present as hemarthrosis in the knee joint, while the pain point for the medial collateral ligament (MCL) is typical...[Read More] How to Differentiate Between ACL and MCL Injuries in Your Knee
Understanding Ligament Damage: Repair Options and Surgical Insights
Ligament tear In early December of the previous year, I dislocated my patella after being hit by a ball on my knee. After seeking medical attention, I was placed in a brace for two weeks. The first doctor I consulted mentioned that I might have injured my ligaments but suggested ...
Dr. Shi Guozheng Reply:
There are four ligaments in the knee joint, and it's unclear which one is injured and the extent of the injury. If the anterior or posterior cruciate ligament is damaged, reconstruction may be necessary. If the patella is laterally displaced, a realignment operation may be r...[Read More] Understanding Ligament Damage: Repair Options and Surgical Insights
Is Your Knee Pain Linked to ACL Reconstruction Hardware?
Issues with Anterior Cruciate Ligament Reconstruction Screws Hello, Doctor: I sustained an injury to my right knee in a car accident in 1994, resulting in a torn anterior cruciate ligament (ACL) and meniscus damage. In 1996, I underwent ACL reconstruction surgery, during which th...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is likely unrelated to the metal screws; the most probable issue remains with the meniscus. Therefore, attempting to remove the screws may not be beneficial for symptom improvement.[Read More] Is Your Knee Pain Linked to ACL Reconstruction Hardware?
Understanding Ligament Injuries: Impact of Delayed MRI on Recovery
Ligament issues I participated in a friendly match on November 25th as part of my school team. While cutting in, I twisted my left knee and fell to the ground. I have a history of anterior cruciate ligament (ACL) tear in my left knee. Since it was a Sunday, there were no orthoped...
Dr. You Dianqi Reply:
Hello: If you have not engaged in any strenuous exercise during this period, which could lead to further injury, then the nearly one-month waiting period should not result in any significant changes. This time allows the injured tissue to experience some reduction in swelling, an...[Read More] Understanding Ligament Injuries: Impact of Delayed MRI on Recovery
Understanding Post-ACL Reconstruction Loosening: Causes and Treatment Options
Postoperative laxity of the posterior cruciate ligament? Hello, doctor. I underwent posterior cruciate ligament reconstruction and meniscus repair surgery at the end of January this year. It has been almost a year, but my muscle strength has not returned, and my passive flexion i...
Dr. Shi Guozheng Reply:
It is possible that it did not heal properly, and a reoperation may be more appropriate. Regenerative therapy cannot tighten the ligaments.[Read More] Understanding Post-ACL Reconstruction Loosening: Causes and Treatment Options
Understanding Persistent Knee Issues After ACL Reconstruction: What You Need to Know
Posterior cruciate ligament (PCL) Hello Doctor: Ten years ago, I fell while riding my bicycle and injured my left knee. I noticed significant movement in my left tibia, and after examination at the hospital, I was diagnosed with a torn posterior cruciate ligament (PCL). It took a...
Dr. Shi Guozheng Reply:
After undergoing ligament reconstruction surgery, insufficient muscle strength in the knee joint may lead to a feeling of instability. Additionally, the tension from the reconstruction may not have fully restored, causing slight displacement of the knee joint. If there are no sym...[Read More] Understanding Persistent Knee Issues After ACL Reconstruction: What You Need to Know
Understanding Arthroscopic Surgery for Knee Injuries: What to Expect
Arthroscopic surgery Doctor, my knee was injured in a car accident, and I had an MRI done. The results showed that I have a torn anterior cruciate ligament (ACL), a torn medial collateral ligament (MCL), and a meniscal tear. The doctor I initially consulted advised me not to take...
Dr. You Dianqi Reply:
Hello: The following responses are based solely on your textual description. Without imaging and physical examination background, the accuracy and reliability of my replies are limited. I still recommend that you have a detailed discussion with your attending physician. Thank you...[Read More] Understanding Arthroscopic Surgery for Knee Injuries: What to Expect
Knee Issues After Car Accident: Understanding Symptoms and Treatment
Knee issues resulting from a car accident? Hello Doctor: Four months ago, I had a car accident that resulted in a contusion of my left knee, which was very swollen. Within a month, I visited the doctor three times, and they diagnosed me with bursitis. I received anti-inflammatory...
Dr. Shi Guozheng Reply:
Swelling of the knee joint after a car accident is typically due to incomplete tissue repair and usually occurs without a fracture. With rehabilitation and heat therapy, recovery is generally expected. If there are concerns about potential internal joint issues, it is advisable t...[Read More] Knee Issues After Car Accident: Understanding Symptoms and Treatment
Knee Pain After Motorcycle Fall: Is It a Cruciate Ligament Injury?
Knee injury from a motorcycle accident? I fell off my motorcycle and landed on my right knee. There is no obvious swelling in the knee, but when I stand and lift my right leg (with the calf vertical to the ground and not exerting force), I experience pain on the outer side of the...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have an injury to the lateral meniscus and the anterior cruciate ligament. You should undergo an MRI to confirm the diagnosis. Wishing you a speedy recovery.[Read More] Knee Pain After Motorcycle Fall: Is It a Cruciate Ligament Injury?
Understanding Left Knee Injuries: Recovery from Tibial Fracture and ACL Tear
Left posterior knee avulsion fracture of the tibial plateau with posterior cruciate ligament tear? Doctor, my daughter suffered a fracture of the posterior tibial plateau and a rupture of the posterior cruciate ligament due to a car accident. Initially, the fracture was stabilize...
Dr. Li Yongheng Reply:
Hello, your daughter is unable to kneel and has difficulty squatting, which is likely related to the rehabilitation following her surgery a year ago, and is not related to the anterior cruciate ligament (ACL) not being reattached or reconstructed. As long as the knee joint is sta...[Read More] Understanding Left Knee Injuries: Recovery from Tibial Fracture and ACL Tear
Can Ultrasound Assess Ligament Injury Severity in Knee Sprains?
Can ultrasound be used to assess the extent of ligament injury in cases of knee sprain and swelling? On August 12, I jumped down from a height of 1.2 meters, and when my right foot landed, the moss on the ground caused a knee sprain. On the day of the injury, since it was a Satur...
Dr. Wang Jiacheng Reply:
Ultrasound has difficulty examining the cruciate ligaments, but it can effectively assess the collateral ligaments.[Read More] Can Ultrasound Assess Ligament Injury Severity in Knee Sprains?