Understanding Wrist Dislocation and Bone Fracture: Surgery and Recovery Insights
Wrist dislocation with a fracture? I would like to ask about my condition. I sustained an injury on the evening of June 18th. Initially, it was diagnosed as a wrist dislocation with a fracture, but later at another hospital, it was determined that there was a joint surface detach...
Dr. Wang Shouji Reply:
Hello: For displaced articular surface fractures, the principle is surgical reduction and internal fixation. If displaced articular surface fractures are not addressed, they can lead to significant sequelae, including post-traumatic arthritis. After fixation, patients can begin i...[Read More] Understanding Wrist Dislocation and Bone Fracture: Surgery and Recovery Insights
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 Elbow Dislocation Recovery: Timeline and Rehabilitation Concerns
Elbow dislocation Hello, doctor. I dislocated my left elbow due to a car accident and underwent surgical reduction that same night. The incident occurred on July 17, and I was placed in a fiberglass cast. I returned for a follow-up on July 21, and the doctor mentioned that the X-...
Dr. Shi Guozheng Reply:
Typically, after an elbow dislocation, immobilization should last about four to six weeks. Prolonged immobilization can lead to the inability to fully extend the joint. Therefore, it is advisable to remove the cast and begin rehabilitation before six weeks. Of course, if the join...[Read More] Understanding Elbow Dislocation Recovery: Timeline and Rehabilitation Concerns
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
Knee Cannot Straighten Three Weeks After Knee Replacement Surgery
Three weeks after knee replacement surgery, the knee is unable to straighten? Hello: My mother is unable to fully straighten her knee three weeks after her knee replacement surgery. Is this due to a dislocation of the artificial joint or tightness in the muscles?
Dr. Shi Guozheng Reply:
The likelihood of dislocation or misalignment after total knee arthroplasty is extremely low. Inability to stand straight is usually due to joint stiffness or flexion contracture, which requires rehabilitation therapy to gradually improve extension. Sometimes, pain can also preve...[Read More] Knee Cannot Straighten Three Weeks After Knee Replacement Surgery
Understanding Shoulder Dislocation: Recovery, Rehabilitation, and Concerns
Acromioclavicular joint dislocation A few days ago, I suffered a shoulder ligament tear and clavicle dislocation (without fracture) due to a car accident. I underwent surgery at Tamsui Mackay Memorial Hospital on May 28, 2015, and was discharged on the 30th. The doctor used a &qu...
Dr. Lin Jingwei Reply:
Hello: 1. Currently, due to the time required for the repair of ligaments and other soft tissues, it is recommended to use a sling for protection for 4-6 weeks post-surgery. 2. The fixation button for the acromioclavicular joint is made of metal and generally does not need to be ...[Read More] Understanding Shoulder Dislocation: Recovery, Rehabilitation, and Concerns
Managing Acromioclavicular Joint Dislocation: Plate vs. Ligament Reconstruction
Dislocation of the acromioclavicular joint? In this situation, which treatment method is more appropriate: the use of a clavicular hook plate or ligament reconstruction? Is ligament reconstruction the same as Tommy John surgery? Thank you.
Dr. Chen Yongxue Reply:
Hello, as far as I know, Tommy John surgery is related to the elbow and not the acromioclavicular joint reconstruction. There are several different surgical methods, each with its own advantages and disadvantages. Currently, the use of a plate is a common method, but it can be qu...[Read More] Managing Acromioclavicular Joint Dislocation: Plate vs. Ligament Reconstruction
Post-Surgery Care and Recovery for Knee Ligament Transfer: Common Concerns
Regarding postoperative care after knee ligament reconstruction surgery? Hello Doctor, my mother is 47 years old. Last year, she was in a car accident where she suffered a 40% tear of the posterior cruciate ligament and complete tears of all other ligaments. She underwent surgery...
Dr. Shi Guozheng Reply:
Swelling six weeks after knee surgery is considered normal and typically takes six to twelve weeks to resolve. Swelling can be managed with alternating ice and heat therapy. Additionally, rehabilitation exercises should be performed gradually to increase the range of motion in th...[Read More] Post-Surgery Care and Recovery for Knee Ligament Transfer: Common Concerns
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
Understanding Wrist Dislocation: Treatment Options and Risks
Wrist joint dislocation Dear Director, 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 a distal radioulnar joint dislocation that has not been reduced, and it has been 70 days. Should I cons...
Dr. Shi Guozheng Reply:
If a distal radioulnar joint dislocation is not reduced and there are persistent pain symptoms, surgical intervention may be necessary. Without surgery, there could be ongoing pain or inability to exert force. It is advisable to consult a hand surgery specialist at a major hospit...[Read More] Understanding Wrist Dislocation: Treatment Options and Risks
Post-Operative Pain Management After Hip Replacement Surgery in Seniors
Postoperative care after hip arthroplasty? Hello, doctor. My grandmother is 83 years old and has hypertension. She underwent hip replacement surgery on April 1st and has had her stitches removed. It has been two weeks since the surgery, but whenever she moves even slightly, she c...
Dr. Shi Guozheng Reply:
Post-operative pain typically lasts for about six weeks. After hip joint surgery, it is necessary to use a pillow between the legs to prevent dislocation, and it is important to follow the physician's instructions to avoid the risk of dislocation.[Read More] Post-Operative Pain Management After Hip Replacement Surgery in Seniors
Recovery Concerns After Left Elbow Dislocation and Olecranon Fracture
Issues related to the treatment period for a left elbow dislocation? On March 14, I accidentally fell while exercising, resulting in a dislocated left elbow. I managed to push it back into place myself and secured it with a triangular bandage. Within an hour, I went to the hospit...
Dr. Chen Yongxue Reply:
Hello, regarding your elbow dislocation, most cases do not have any sequelae after reduction. However, in rare instances, ligament damage can lead to joint instability, at which point ligament reconstruction surgery may be necessary. You mentioned that you dislocated your elbow a...[Read More] Recovery Concerns After Left Elbow Dislocation and Olecranon Fracture
Effective Rehabilitation Strategies for Shoulder Dislocation Recovery
Shoulder dislocation Hello, Doctor! I would like to ask about my left shoulder dislocation. After an X-ray, the doctor said that the ligaments in my left shoulder are torn, causing my left shoulder to be slightly elevated, but the distance between my right and left shoulders is n...
Dr. Chen Yongxue Reply:
As mentioned in your letter, you likely have an injury to the left acromioclavicular joint due to trauma. If there is a noticeable elevation, the treatment approach can be determined based on the patient's needs: if appearance is not a concern and there is no requirement for...[Read More] Effective Rehabilitation Strategies for Shoulder Dislocation Recovery
Understanding Wrist Injuries: Seeking Clarity on Treatment Options
Wrist axis issues Hello Doctor, I would like to ask for your advice. I had a motorcycle accident at the beginning of September last year, and it was initially diagnosed as a wrist dislocation. I was put in a cast until October when it was removed. A few days later, I started reha...
Dr. Shi Guozheng Reply:
You can bend your elbow joint within a tolerable level of pain, controlling the force yourself. Allowing someone else to bend it may risk excessive force, which could cause injury or fracture. After electrical therapy or hydrotherapy, gradually bending the joint may still provide...[Read More] Understanding Wrist Injuries: Seeking Clarity on Treatment Options
Understanding Crush Fractures of the Ring Finger: Recovery and Concerns
Crush fracture of the ring finger? Hello Doctor: I have a comminuted fracture in the second phalanx of my ring finger. The attending physician said that the upper half of the joint is fine, but the lower half is broken into three pieces. They performed surgery and inserted two st...
Dr. Chen Xingyuan Reply:
Dear Reader, Using steel pins for the fixation of finger fractures is a common and widely accepted surgical method. Its advantages include less tissue disruption and easier removal of the pins. However, its fixation strength is relatively weak, and appropriate protection is nece...[Read More] Understanding Crush Fractures of the Ring Finger: Recovery and Concerns
Understanding Elbow Adhesions After Dislocation: Rehabilitation Tips and Care
I am undergoing rehabilitation for a dislocated right elbow, and the therapist informed me about adhesion issues? Dr. Chen: Thank you for your detailed response to my previous question. I have a dislocated right elbow joint and am currently undergoing rehabilitation. The therapis...
Dr. Chen Yongxue Reply:
Hello: In response to your question, elbow adhesion refers to stiffness of the elbow joint, which is one of the joints most prone to stiffness in the human body. Whenever there is trauma, orthopedic issues, or dislocation, one must be cautious about the development of elbow stiff...[Read More] Understanding Elbow Adhesions After Dislocation: Rehabilitation Tips and Care
Understanding Wrist Injuries After a Car Accident: Causes and Recovery
Wrist sprain from a car accident? Last year at the end of the year, I sustained a wrist sprain from a car accident. The emergency room doctor said there were no abnormalities in the bones, and that I could manage it with medication and ice therapy. At that time, my symptoms inclu...
Dr. Shi Guozheng Reply:
Wrist injury pain can persist for a long time. Since an MRI has already been scheduled, we will wait for the results before proceeding with treatment. Based on your description, it seems to be improving. If it turns out to be a triangular fibrocartilage complex (TFCC) issue, we c...[Read More] Understanding Wrist Injuries After a Car Accident: Causes and Recovery
Post-Dislocation Recovery: Key Tips for Diet and Exercise
Dislocated right arm due to a fall? Dr. Chen: Hello, I dislocated my right arm due to a fall on July 8, had my cast removed on July 22, and started rehabilitation on July 23. What should I pay attention to, such as dietary or exercise restrictions? Thank you!
Dr. Chen Yongxue Reply:
Hello: In response to your inquiry, you mentioned an arm dislocation that was treated with a cast. If I am correct, you are likely referring to an elbow joint dislocation. In cases of elbow dislocation without associated fractures, nerve, or ligament damage, rehabilitation therap...[Read More] Post-Dislocation Recovery: Key Tips for Diet and Exercise
Understanding Wrist Ligament Injuries: Diagnosis, Treatment, and Risks
Wrist ligament tear Hello, how can I determine if there is an injury to the wrist ligaments, and what tests should I undergo? What is the difference between a complete ligament tear and a partial tear? What are the different treatment options? If surgery is not performed, what po...
Dr. Chen Xingyuan Reply:
Dear Netizens, Wrist ligament injuries are very common in the wrist area, but making an accurate diagnosis clinically can be quite challenging. This is due to the complex structure of wrist ligaments, which consist of many ligaments of various sizes. Among wrist ligament injurie...[Read More] Understanding Wrist Ligament Injuries: Diagnosis, Treatment, and Risks