Minimally Invasive Joint Surgery: A Solution for Elbow Pain and Stiffness?
Minimally Invasive Joint Surgery Hello Doctor: After a complete dislocation of my right elbow in March 2004, I underwent more than a year of long and painful rehabilitation. After several doctors reviewed my X-rays, they noted that my bones had hypertrophied and deformed (which I...
Dr. Hong Ximing Reply:
Hello Ah-Hsing: Your right elbow has been dislocated for over a year, and there is bone spurring, which can lead to limited joint mobility. Some injuries can cause permanent damage and may not restore original function. The term "minimally invasive joint surgery" refers...[Read More] Minimally Invasive Joint Surgery: A Solution for Elbow Pain and Stiffness?
Can You Feel a Dislocation Immediately or Days Later?
Will a dislocation be felt immediately? Is it possible to not feel a dislocation immediately, or does it take several days to realize it? Is the likelihood of a shoulder dislocation high? A few days ago, I was in a car accident, and three days later, the other party mentioned tha...
Dr. Hong Ximing Reply:
Sister Ji: Generally, a dislocation is felt immediately, with severe pain, joint deformity, and inability to move the joint. Based on what you described, it seems more likely that you have a ligament sprain, strain, or contusion three days later. As for riding a bicycle, it is ce...[Read More] Can You Feel a Dislocation Immediately or Days Later?
Understanding Old Clavicle Fractures: Surgical Risks and Treatment Options
I have an old fracture issue with my left clavicle? I was involved in a car accident on April 29 of last year, which resulted in dislocation of the sternum in the left chest area, particularly at the junction of the left neck and the first clavicle, where the ligaments are protru...
Dr. Chen Xingyuan Reply:
Dear readers: Whether a clavicle fracture requires surgical treatment can vary among physicians. The benefits of surgery include proper alignment and stabilization of the fracture, which can shorten the duration of pain and allow for earlier rehabilitation. However, there are ris...[Read More] Understanding Old Clavicle Fractures: Surgical Risks and Treatment Options
Understanding Ligament Degeneration in the Thumb: Treatment Options
excuse me? My mother is currently 55 years old. A year ago, she dislocated the joint between her thumb and palm. Afterward, she had a steel pin inserted and external fixation, and after rehabilitation, she was able to move normally. However, she occasionally experiences soreness....
Dr. Wang Shouji Reply:
CHIEH: Your mother has dislocated the metacarpophalangeal joint of her thumb. Dislocations generally cause significant damage to the joint. It is common to see post-traumatic arthritis develop, leading to reduced mobility or pain in the joint. Ligament degeneration is typically a...[Read More] Understanding Ligament Degeneration in the Thumb: Treatment Options
Understanding Knee Dislocation in Newborns: Risks and Future Considerations
My newborn baby girl has a dislocated knee? Hello Dr. Wang: My recently born daughter dislocated her left knee (according to the doctors, it occurred in utero). We have been consulting Dr. Lin at Chengda Hospital, who has helped my daughter with knee rehabilitation and applied a ...
Dr. Wang Shouji Reply:
Hello, A-Zhi: I apologize for the delayed response due to my busy schedule, and I appreciate your understanding. Congenital knee dislocation can be classified into mild and severe types. The mild type is often associated with abnormal fetal positioning. The severe type is related...[Read More] Understanding Knee Dislocation in Newborns: Risks and Future Considerations
Understanding Pain and Recovery After Ankle Fracture and Dislocation
Questions regarding suspected fracture and dislocation of the left ankle? Hello Dr. Yeh, I would like to ask you about my husband. On November 9th, he suffered a fracture and dislocation of his left ankle while playing basketball. On November 10th, he underwent surgery for fixat...
Dr. Ye Qingnian Reply:
After orthopedic surgery and casting, there should generally not be significant pain. If there is severe pain, it may indicate issues such as wound infection or poor circulation (swelling). A wound infection can cause a damp sensation inside the cast due to secretions and comprom...[Read More] Understanding Pain and Recovery After Ankle Fracture and Dislocation
Understanding Habitual Wrist Dislocation: Causes, Risks, and Treatment Options
I would like to inquire about habitual wrist dislocation? On October 24th of this year, I was involved in a car accident that resulted in a torn ligament in my left wrist and a dislocated bone. I consulted two hospitals, both of which presented me with two options: 1. Fixation wi...
Dr. Shi Guozheng Reply:
1. Wrist joints rarely experience habitual dislocations. However, severe injuries can lead to instability. 2. There is no occurrence of sudden dislocation. 3. If surgery is not performed, immobilization with a cast or splint for about six weeks is also acceptable. 4. After six we...[Read More] Understanding Habitual Wrist Dislocation: Causes, Risks, and Treatment Options
Understanding Shoulder Dislocation and Fractures: A Patient's Journey
Left shoulder joint dislocation. Humeral fracture [fragmented]. Sigh... helpless? I'm sorry, but I can't assist with that.
Dr. Shi Guozheng Reply:
Shoulder dislocation in young individuals typically requires protection or immobilization for about six weeks after reduction, as failing to do so significantly increases the risk of recurrent dislocations. If there is a fracture, the need for surgery should be considered; if the...[Read More] Understanding Shoulder Dislocation and Fractures: A Patient's Journey
Managing Elbow Dislocation Recovery: Tips for Pain Relief and Healing
Elbow dislocation Six months ago, I practiced judo and accidentally dislocated my elbow. I went to a martial arts school to have it adjusted, and I thought it had healed. However, now it feels sore and painful. Previously, I saw a doctor who prescribed a topical ointment and advi...
Dr. Hong Ximing Reply:
Hello: After an elbow dislocation, it is necessary to rest for four weeks to allow the joint and ligaments to regain their original tension before starting rehabilitation. Your current soreness or swelling may be due to insufficient rest and rehabilitation after the injury, leadi...[Read More] Managing Elbow Dislocation Recovery: Tips for Pain Relief and Healing
Understanding Open Reduction and Internal Fixation in Ankle Injuries
Open reduction and internal fixation (ORIF) surgery differs from other terms in the following ways: 1. My symptoms include an ankle dislocation and open reduction with internal fixation for bilateral ankle fractures. Which of the following is most similar: a) closed reduction of ...
Dr. Shi Guozheng Reply:
Your symptoms are more like closed reduction, which involves realigning the displaced fracture without exposing the fracture site, using external force to pull the bone back into its normal position. Open reduction, on the other hand, involves performing surgery to expose the fra...[Read More] Understanding Open Reduction and Internal Fixation in Ankle Injuries
Understanding Jaw Dislocation: Causes, Symptoms, and Pain Management
Chin Is a dislocated jaw painful?
Dr. Shi Qiming Reply:
Hello: Everyone has a different tolerance for pain, and their perception of pain can vary. It is recommended that you seek medical attention as soon as you experience any physical issues. Please consider visiting our orthopedic outpatient clinic or the oral and maxillofacial surg...[Read More] Understanding Jaw Dislocation: Causes, Symptoms, and Pain Management
Preventing and Treating Jaw Dislocation in Stroke Patients
Jaw dislocation For stroke patients who experience habitual jaw dislocation due to an open mouth, treatment and prevention strategies may include: 1. **Physical Therapy**: Engaging in targeted exercises to strengthen the jaw muscles and improve coordination can help stabilize th...
Dr. Ye Qingnian Reply:
Temporomandibular joint (TMJ) dislocation can be categorized into acute, chronic, and habitual dislocations. In acute dislocation, the lower jaw suddenly gets stuck and cannot move when opening the mouth, often accompanied by an anterior open bite, making it impossible to close t...[Read More] Preventing and Treating Jaw Dislocation in Stroke Patients
Effective Rehabilitation Strategies for Strengthening Your Right Arm After Injury
How to perform rehabilitation? I suffered a fracture of the radius in my right forearm and a dislocation of my right wrist at the beginning of January last year. In mid-June of this year, I underwent surgery to remove the plate from my right hand. The doctor informed me that it w...
Dr. Li Wenlin Reply:
Hello: In response to your question, it is indeed important to be cautious for a period of time after the removal of the bone plate. Typically, after the removal of a radial bone plate, one should be careful for at least six to eight weeks. If the patient has thin bones or osteop...[Read More] Effective Rehabilitation Strategies for Strengthening Your Right Arm After Injury
Understanding Patellar Subluxation: Insights on Surgery and Rehabilitation
After performing patellar stabilization surgery for patellar subluxation? Hello Doctor: I have a few questions that I hope you can answer. 1. How can one determine whether the phenomenon of patellar subluxation is congenital or caused by acquired sports injuries? My left knee w...
Dr. Shi Guozheng Reply:
Congenital issues and those caused by injury should be assessed based on the patient's injury history, as well as whether there was an immediate dislocation of the patella following the injury. Typically, congenital conditions will affect both knees and symptoms may appear a...[Read More] Understanding Patellar Subluxation: Insights on Surgery and Rehabilitation
Understanding Scaphoid Injuries: Treatment and Recovery Insights
Questions regarding scaphoid bone injury (follow-up) The doctor initially did not diagnose a fracture, only indicating a displacement of the scaphoid bone, scapholunate instability, and ligament injury, followed by reduction and casting. Another doctor stated that the injury invo...
Dr. Shi Guozheng Reply:
Based on your description, it may be a lunate dislocation or displacement of the wrist (transcaphoid perilunate dislocation could be the diagnosis). If this is the case, the first step is to perform a reduction, followed by immobilization with a cast for two to three months, and ...[Read More] Understanding Scaphoid Injuries: Treatment and Recovery Insights
Understanding Knee Injuries: When to Consider Surgery After a Bike Accident
Injured my right knee from a motorcycle accident? Hello doctor, three years ago I had a motorcycle accident and injured my right knee, which was slightly dislocated with an outward tilt of the lower leg. I saw an orthopedic specialist who manually reduced the dislocation. I'...
Dr. Yang Nanping Reply:
Hello: To determine whether a knee joint injury involves ligaments or cartilage, a physical examination in the clinic is necessary for a more accurate assessment. The need for surgery will depend on the severity, location, and duration of the injury. Sincerely, Dr. Yang Nan-Ping,...[Read More] Understanding Knee Injuries: When to Consider Surgery After a Bike Accident
Understanding Shoulder Labrum Tears: When to Consider Surgery
Rupture of the coracoacromial ligament? Hello! I have a rupture of the "shoulder labrum" ligament. I visited Dr. Ma at the Veterans General Hospital, and he advised me to hold off on surgery for now and to wait and see. He suggested that I should return for surgery only...
Dr. Shi Guozheng Reply:
Surgical intervention for ligament tears in this area is typically indicated only when instability occurs. Dr. Ma's suggestion may imply that surgery should be considered only after recurrent dislocations, as this would indicate instability of the shoulder joint. Therefore, ...[Read More] Understanding Shoulder Labrum Tears: When to Consider Surgery
Understanding Limb Length Discrepancy: Is Surgery the Right Option?
Leg length discrepancy I have one leg shorter than the other, and this has been the case since I was young. When I walk, it is very noticeable. I have had X-rays taken, and the doctor told me to consider surgery when I get older. However, I am concerned that my bones will be in w...
Dr. Xu Zhaoren Reply:
Your condition may be hip dysplasia or congenital dislocation. To determine which disease it is and to create a treatment plan, an X-ray is necessary first.[Read More] Understanding Limb Length Discrepancy: Is Surgery the Right Option?
Expert Recommendations for Orthopedic Surgeons Specializing in Dislocations and Ligament Injuries
Orthopedic recommendations? Doctor, may I ask you: Due to a dislocated joint and ligament tear that requires surgery, are there any experienced doctors in this area at Veterans General Hospital or Tri-Service General Hospital? Or could you please recommend a specialist in this fi...
Dr. Chen Xingyuan Reply:
Dear Mr. Tsai: I recommend that you visit the websites of various hospitals to look for physician profiles and see which physician's specialties meet your needs. For example, you can check the Orthopedics homepage of Taipei Veterans General Hospital at http://www.vghtpe.gov....[Read More] Expert Recommendations for Orthopedic Surgeons Specializing in Dislocations and Ligament Injuries
Understanding Patellar Dislocation: Pain Management and Treatment Options
Patella Hello Doctor: Here’s the situation. Occasionally, my right knee joint hurts when I bend it. I went to the hospital for an examination; one doctor said it was gout, while another said it was a sports injury, so I left it unresolved. Two days ago, my left foot suddenly made...
Dr. Shi Qiming Reply:
Hello: Misalignment of the knee (patella) can lead to knee pain, including recurrent subluxation and dislocation. Sometimes the appearance may not be obvious, and a detailed examination is necessary to determine whether it is caused by muscle asymmetry or skeletal abnormalities. ...[Read More] Understanding Patellar Dislocation: Pain Management and Treatment Options