Improving Prominent Clavicles: Solutions for a Better Aesthetic
Clavicle issues Is there a way to improve the protrusion of the clavicle near the shoulder? After all, it doesn't look very aesthetically pleasing from the outside.
Dr. Wang Shouji Reply:
Hello, an X-ray should be taken first to determine the cause. Acromioclavicular joint dislocation is mostly caused by trauma; if there is no trauma, it is often congenital. If there is no pain, no treatment is necessary. Please go to the hospital for an X-ray to make a diagnosis ...[Read More] Improving Prominent Clavicles: Solutions for a Better Aesthetic
Hard Lump at the Clavicle: Causes and When to Seek Medical Attention
There is a hard lump at the front end of the clavicle that feels like bone? Hello, doctor. Recently, I found a small round hard lump, less than one centimeter, at the front end of my clavicle. It feels very hard, like bone, and is tender to the touch. It's located at the rou...
Dr. Zhan Xian Reply:
Hello, possible diagnoses include sternoclavicular joint dislocation, ligament inflammation, or a mass, etc. Please visit the outpatient clinic for an examination![Read More] Hard Lump at the Clavicle: Causes and When to Seek Medical Attention
Post-Shoulder Labrum Repair: Common Concerns and Recovery Tips
Questions After Shoulder Labrum Repair Hello, Dr. You. I would like to ask a few questions as follows: 1. It has been six weeks since my arthroscopy on October 25, and I have already removed the brace. Is it normal to still feel discomfort in my right shoulder? How long will it...
Dr. You Dianqi Reply:
Hello, first I need to confirm whether your shoulder labrum repair was due to frequent dislocations. If so, it is likely that you had an anterior inferior labral tear that was repaired arthroscopically. How are you feeling? If you still experience some tightness and pain, that is...[Read More] Post-Shoulder Labrum Repair: Common Concerns and Recovery Tips
Understanding and Managing Acromioclavicular Joint Dislocation: Key Questions Answered
Acromioclavicular joint dislocation Hello Doctor: I have a grade 2-3 acromioclavicular joint dislocation that has not been surgically treated, and it has been 2 months and 5 days since the injury. 1. How can I confirm whether the coracoclavicular and acromioclavicular ligaments h...
Dr. Ye Qingnian Reply:
It's important to start moving quickly and not to keep the arm in a sling for too long. Prolonged immobilization of the shoulder joint can lead to stiffness, and maintaining function is crucial. It's been two months, and if conservative measures like compression and rep...[Read More] Understanding and Managing Acromioclavicular Joint Dislocation: Key Questions Answered
Understanding Biceps Tendon Sheath Effusion After Arthroscopic Shoulder Surgery
Shoulder arthroscopy? Hello Doctor: After undergoing arthroscopic surgery for habitual dislocation, I had an ultrasound examination three months later. The examining physician mentioned that I have a fluid collection in the biceps brachii long head tendon. What does this mean, an...
Dr. Li Yongheng Reply:
Hello, after joint surgery for habitual dislocation, if there is fluid accumulation in the long head of the right biceps three months post-operation, it is considered a natural phenomenon and there is no need for concern. If there is no significant pain, you can continue to monit...[Read More] Understanding Biceps Tendon Sheath Effusion After Arthroscopic Shoulder Surgery
Understanding Right Knee Pain: Causes and Treatment Options
Right knee tenderness? Dear Dr. Li, I had a minor car accident about two years ago (in 2017), which resulted in a bruise and contusion on my right knee. I subsequently visited an orthopedic clinic for an X-ray of my right knee. The doctor reviewed the X-ray and stated that there...
Dr. Li Yongheng Reply:
Hello, the localized tenderness may be a symptom caused by internal soft tissue scarring resulting from a contusion. If the symptoms are bothersome, it is recommended to visit an orthopedic clinic for a low-dose corticosteroid injection. It is very effective and has no side effec...[Read More] Understanding Right Knee Pain: Causes and Treatment Options
Understanding Creaking Sounds After Hip Replacement: Causes and Solutions
After hip replacement, a clicking sound may occur during movement, and there may often be a sensation of misalignment without the ability to exert force? Hello, doctor. I had a hip replacement 10 years ago (made of metal). Since last year, I've been experiencing a clicking s...
Dr. Chen Yongxue Reply:
Hello, after ten years post artificial hip joint surgery, the noise may be due to bone proliferation or wear of the metal joint. Metal artificial hip joints were once very popular, but subsequent issues arose, primarily due to wear occurring at a greater extent than expected. Cur...[Read More] Understanding Creaking Sounds After Hip Replacement: Causes and Solutions
Understanding Patellar Dislocation Surgery: Recovery and Rehabilitation Insights
Patellar dislocation Hello, Doctor. I have a long-standing issue with habitual dislocation of my knee, and recently the frequency of dislocations has increased. At night, I also experience inflammation and pain in my knee. I consulted an orthopedic surgeon who recommended surgery...
Dr. Ye Qingnian Reply:
Hello, regarding habitual patellar dislocation, it is recommended to consult a sports medicine specialist. Thank you.[Read More] Understanding Patellar Dislocation Surgery: Recovery and Rehabilitation Insights
Post-Cast Recovery: Addressing Concerns After Fibula Fracture Surgery
Questions about rehabilitation after fibula fracture cast removal? Dear Consultation Team, I have a fracture and dislocation near the joint of my right fibula. On July 20, I underwent a surgical procedure to fixate the bone with screws and was placed in a cast. The cast was remo...
Dr. Zhan Xian Reply:
After removing the cast, walking should be gradually increased and not done excessively at once. If there is slight swelling, elevate the limb and rest. If pain and swelling do not improve, consider returning to the original clinic for follow-up.[Read More] Post-Cast Recovery: Addressing Concerns After Fibula Fracture Surgery
Understanding Patellar Injuries: When to Seek Medical Attention After a Fall
Falls and patellar issues? Currently, the individual in the UK fell forward on an escalator on July 23, impacting the right angle of the stairs just below the midline of the left patella, resulting in a wound approximately 1 cm in diameter that likely extends into the dermis. Aft...
Dr. Li Yongheng Reply:
Hello, 1. If there is slight swelling at the affected area and the bruise is not prominent, the likelihood of a patellar fracture is low, and you can apply ice and monitor the situation. 2. It is important to reduce walking and avoid squatting, kneeling, and bending the knee join...[Read More] Understanding Patellar Injuries: When to Seek Medical Attention After a Fall
Understanding Ankle Open Fractures in Children After a Car Accident
Open fracture of the ankle due to a car accident? Hello Doctor: At the end of May this year, my 13-year-old child was involved in a car accident, resulting in an open dislocation and fracture of the right ankle joint, as well as fractures of the first and second metatarsals. This...
Dr. Li Yongheng Reply:
Hello, based on what you described: the bones from below the right knee to the ankle are slightly shifted to the right, and the foot is turned inward like a "pigeon toe," which is abnormal. It is advisable for you to return for a follow-up consultation with a surgical s...[Read More] Understanding Ankle Open Fractures in Children After a Car Accident
Understanding Finger Dislocation: Healing, Swelling, and Recovery
Finger dislocation A finger dislocation with a ligament tear can lead to swelling even after the ligament has healed and normal bending has returned. It is not uncommon for the surrounding tissues to remain swollen for some time after an injury. However, if the swelling persists ...
Dr. Chen Yongxue Reply:
Hello, after a finger dislocation reduction, it is often difficult to completely reduce the swelling. However, appearance is not the most important factor; functionality is the primary concern.[Read More] Understanding Finger Dislocation: Healing, Swelling, and Recovery
Recovery Time After Elbow Fracture and Dislocation Surgery: What to Expect
The recovery time after surgery for an elbow fracture with dislocation? Hello Doctor, I had an emergency surgery on May 27 due to a car accident, resulting in a fracture and dislocation of my left elbow along with ligament damage. The surgery involved open reduction and internal ...
Dr. Li Yongheng Reply:
Hello, if you need to use both hands for work and occasionally lift somewhat heavy items, I recommend taking a three-month recovery period before returning to work.[Read More] Recovery Time After Elbow Fracture and Dislocation Surgery: What to Expect
Total Hip Replacement for Osteoporotic Patients: A Stepwise Approach?
Hip joint replacement in patients with osteoporosis? Father (70 y/o, severe osteoporosis): After a femoral neck fracture, he has undergone two surgeries: the first was an open reduction, but the fixation implant protruded, causing a defect in the lateral acetabulum; the second wa...
Dr. Li Yongheng Reply:
Hello, generally speaking, for a femoral neck fracture without displacement, the National Health Insurance regulations in Taiwan only cover open reduction and internal fixation with bone screws. As long as the position of the screws is appropriate, the patient uses a walker, and ...[Read More] Total Hip Replacement for Osteoporotic Patients: A Stepwise Approach?
Post-Operative Hip Replacement: Understanding Movement Restrictions
Postoperative angle restrictions after total hip arthroplasty? Dear Director Chen, Hello. For a standard health insurance hip replacement, there are limitations on angles and movements after surgery. Is this just a transitional period post-surgery, or will one never be able to s...
Dr. Chen Yongxue Reply:
Hello, after hip replacement surgery, to prevent dislocation, it is advisable to avoid adduction, abduction, external rotation, and excessive flexion for at least six to twelve weeks post-surgery. This is related to the surgical procedure, so it is best to consult your attending ...[Read More] Post-Operative Hip Replacement: Understanding Movement Restrictions
Post-Surgery Recovery: Is Lower Back Pain Normal After L5 Fracture?
Fracture and dislocation of the fifth lumbar vertebra with spondylolisthesis of the fifth lumbar vertebra and first sacral vertebra? Fracture and dislocation of the fifth lumbar vertebra with spondylolisthesis of the fifth lumbar and first sacral vertebrae. Postoperatively, exper...
Dr. Xie Hongjia Reply:
Dear Miss Yi-Yi: Regarding the issue you raised, since each person's situation is different, we recommend following up at the hospital. Hualien Hospital, Ministry of Health and Welfare, cares about your health.[Read More] Post-Surgery Recovery: Is Lower Back Pain Normal After L5 Fracture?
Understanding Clavicle Dislocation After a Car Accident: Surgery vs. Non-Surgery
Clavicle dislocation due to a car accident? Hello, my girlfriend has a one-centimeter dislocated clavicle due to a previous car accident. The doctor mentioned that surgery is optional, but will the clavicle gradually return to its original position? If she undergoes surgery, will...
Dr. Chen Yongxue Reply:
Hello, 1. My girlfriend has a one-centimeter dislocation of her clavicle due to a previous car accident. The doctor mentioned that surgery is optional, but will the clavicle gradually return to its original position? No, while a mid-clavicle fracture can dislocate, it typically...[Read More] Understanding Clavicle Dislocation After a Car Accident: Surgery vs. Non-Surgery
Understanding Elbow Dislocation Recovery: Key Questions and Tips
Regarding elbow dislocation within one week? Hello, I dislocated my elbow on April 1st. After reduction at the hospital, I currently have a cast fixed at 90 degrees in front of my chest. During my follow-up visit, I saw the X-ray of the dislocation, which looked similar to the fi...
Dr. Shi Guozheng Reply:
1. An elbow dislocation typically involves ligament damage, which should be assessed for any associated fractures. Most ligaments are merely sprained rather than torn. To determine if there is nerve damage, check if the fingers can move and if the wrist can extend. 2. Movement of...[Read More] Understanding Elbow Dislocation Recovery: Key Questions and Tips
Left Elbow Dislocation and Lateral Ligament Tear: Surgical Considerations
Left shoulder dislocation with rupture of the lateral ligament? Hello, doctor! On January 8, I dislocated my left elbow while skiing in Japan. It was reduced on the same day, but it was misaligned, so I returned to Hong Kong and successfully had it realigned at Eastern Hospital o...
Dr. Shi Guozheng Reply:
Rehabilitation can continue for another three months before reassessing the possibility of regaining some muscle strength. If there is still significant instability and weakness, surgery may be necessary.[Read More] Left Elbow Dislocation and Lateral Ligament Tear: Surgical Considerations
Understanding Revision Surgery for Tibial Plateau Fractures: What to Expect
Secondary surgery for tibial fractures? Hello, Doctor. Thank you for your careful response last time. I have some concerns to discuss during today's follow-up visit. I was involved in a car accident on February 11, resulting in a comminuted fracture of the left tibial platea...
Dr. Shi Guozheng Reply:
1. It is uncommon but can sometimes be encountered. 2. It is not that the fracture may have already existed and then gradually collapsed. 3. The healing of bone grafts in this location occurs quickly because it primarily consists of cancellous bone (which heals much faster th...[Read More] Understanding Revision Surgery for Tibial Plateau Fractures: What to Expect