Understanding Developmental Dysplasia of the Hip: Surgical Options and Care
Inquiry about DDH (Developmental Dysplasia of the Hip) issues? Hello Doctor, my daughter just turned three years old. She was diagnosed with congenital hip dysplasia when she was two months old. She wore a harness for eight months during her first year. We recently visited the do...
Dr. Shi Guozheng Reply:
1. Usually, after removing the cast, you still need to practice walking gradually, as you have to wait for the fractured bone to heal. 2. Surgery may not be necessary. 3. If the alignment is poor, surgery is preferable. 4. The chances of recovery are very high. 5. You wil...[Read More] Understanding Developmental Dysplasia of the Hip: Surgical Options and Care
Post-Total Hip Replacement: Essential Guidelines for Recovery and Care
Total Hip Replacement I underwent surgery on May 7, 2016, for a "right pelvic fracture with associated right hip dislocation," which led to post-traumatic arthritis nearly two years later, resulting in a total hip arthroplasty on March 27, 2018. I have some questions as...
Dr. Shi Guozheng Reply:
1. No. 2. Rehabilitation is necessary and is usually well understood. 3. Strength training for the muscles helps to stabilize the joints. 4. Driving should be avoided for six weeks post-surgery; the seat should be elevated to prevent dislocation. 5. Dental treatments may cause tr...[Read More] Post-Total Hip Replacement: Essential Guidelines for Recovery and Care
Does Patellar Dislocation Cause Bone Loss? Expert Insights
Patellar issues? Hello Dr. Shi: Could you please tell me if a patellar dislocation can cause bone loss? Thank you for your assistance.
Dr. Shi Guozheng Reply:
If a joint remains dislocated for an extended period, it can lead to wear and tear on the adjacent femoral surface.[Read More] Does Patellar Dislocation Cause Bone Loss? Expert Insights
Understanding TFCC Injuries and Ulnar Dislocation: When to Consider Surgery
The issue of the ulna being misaligned and the injury to the triangular fibrocartilage complex (TFCC) raises the question of whether surgical intervention is necessary? Hello Doctor, about four and a half months ago, I fell while playing basketball and landed on my hand. Initiall...
Dr. Wang Shouji Reply:
Hello: There is a discrepancy in the position of the distal radioulnar joint. A bilateral wrist X-ray should provide more information. If a TFCC injury is suspected, forceful rotation of the wrist can cause pain in the distal radioulnar joint, which cannot be seen on X-ray; an MR...[Read More] Understanding TFCC Injuries and Ulnar Dislocation: When to Consider Surgery
Understanding Hip and Thigh Muscle Issues After a Fall: Key Insights
Hip joint and thigh muscle issues? Hello, doctor! On March 16, during my trip, I accidentally fell to the right while pushing a large suitcase on an escalator. At that time, I was unable to stand on my right leg at all, and my family had to carry me back home. Four hours later, m...
Dr. Shi Guozheng Reply:
1. It may not be necessary to do so. 2. A contusion of the right hip is the most likely diagnosis. 3. It is possible. 4. If it is not very painful, medication may not be needed. 5. Gradually resuming movement will help the muscles recover. 6. It is advisable to seek med...[Read More] Understanding Hip and Thigh Muscle Issues After a Fall: Key Insights
Understanding Congenital Limb Length Discrepancy and Surgical Options
Congenital limb length discrepancy, with the left calf noticeably more curved than the right? Hello, I am 27 years old. I have a congenital leg length discrepancy, with my right leg being approximately 5-6 cm shorter than my left. I underwent examinations as a child, which reveal...
Dr. Shi Guozheng Reply:
If there is a dislocation of the left hip joint accompanied by pain symptoms and medication treatment is ineffective, a total hip arthroplasty on the left side may be considered. If the dislocation is not severe and there are no pain symptoms, then consideration can be given to w...[Read More] Understanding Congenital Limb Length Discrepancy and Surgical Options
Is Your Elbow Fractured or Dislocated? Signs and What to Do
Is there a fracture or dislocation of the elbow joint? Hello Doctor, I would like to ask you a few questions: I bumped the outer side of my elbow against a wall, and after about an hour, it became swollen and very red. There is noticeable warmth and localized pain. I experience p...
Dr. Li Yongheng Reply:
Hello, you have bumped the outer side of your elbow against the wall, resulting in noticeable warmth and localized pain, with discomfort during movement. It is usually not severe enough to cause dislocation or fracture. I recommend applying ice and using some topical analgesic oi...[Read More] Is Your Elbow Fractured or Dislocated? Signs and What to Do
Recovery Time and Activity Guidelines After Shoulder Dislocation from Car Accident
Recovery time and activity after a dislocation from a car accident? Hello, doctor. I dislocated my shoulder in a car accident on January 9 and received reduction on the same day. The X-ray of the injury can be viewed here: https://imgur.com/a/hVc07. It has been over three weeks n...
Dr. Shi Guozheng Reply:
Discomfort may last for about two to three months, and activity should be limited for at least six weeks; otherwise, there is a risk of re-dislocation.[Read More] Recovery Time and Activity Guidelines After Shoulder Dislocation from Car Accident
Challenges in Healing: Right Ulnar Fracture and Radial Head Dislocation
Right ulnar fracture with radial head dislocation, postoperative nonunion? Dear Dr. Chen, I sustained an injury while attending a meeting on February 10 of this year, resulting in an open fracture: a fracture of the right ulnar bone accompanied by a dislocation of the radial hea...
Dr. Chen Yongxue Reply:
1. The described unusual sensation is likely primarily related to a bone issue. 2. To promote bone development and healing, immobilization is essential in the initial phase, and calcium supplementation is also very important. Additionally, there are reports that ultrasound may ...[Read More] Challenges in Healing: Right Ulnar Fracture and Radial Head Dislocation
Understanding Shoulder Dislocation and Fracture Recovery Challenges
Shoulder dislocation and fractures can take several years to heal and may not fully recover? Hello Dr. Chen: I am currently in sixth grade. When I was in second grade, I fell while doing pull-ups at school and dislocated my shoulder along with a fracture. It hurt a lot right afte...
Dr. Chen Yongxue Reply:
Hello, your condition may require an X-ray, physical examination, and possibly an MRI to determine the issue. Please visit a hospital for a clearer diagnosis. Thank you.[Read More] Understanding Shoulder Dislocation and Fracture Recovery Challenges
Understanding Acromioclavicular Joint Subluxation After a Bike Accident
Regarding acromioclavicular joint subluxation? Due to a motorcycle accident, I was diagnosed by a physician with a partial dislocation of the left acromioclavicular joint, which is estimated to be between Grade I and II. There were no additional recommendations; the doctor only m...
Dr. Li Yongheng Reply:
Hello, in the case of a grade I or II acromioclavicular joint subluxation of the left shoulder, surgical treatment is usually not necessary. It is generally recommended to use a sling or arm support for 4-6 weeks, after which rehabilitation exercises for the left shoulder can beg...[Read More] Understanding Acromioclavicular Joint Subluxation After a Bike Accident
Understanding Recurrent Clavicle Dislocation After Hook Plate Surgery
Acromioclavicular joint dislocation Hello Doctor: Three years ago, I suffered a rupture of the acromioclavicular ligament and underwent surgery where I paid out of pocket for a hook plate to reposition the bone. The plate was removed after surgery, and overall, my range of motion...
Dr. Li Yongheng Reply:
Hello, after the acromioclavicular ligament rupture and fixation with a hook plate, it is indeed rare for it to dislocate again. The reason is that heavy training increases the likelihood of re-injuring the clavicle. If you currently feel some instability with occasional mild dis...[Read More] Understanding Recurrent Clavicle Dislocation After Hook Plate Surgery
Understanding Ulnar Dislocation: Treatment Options and Recovery Time
Ulnar dislocation of the wrist? Hello doctor, I slipped while playing at the swimming pool and instinctively used my hand to brace myself. As a result, I heard a cracking sound. I went to see a doctor and was diagnosed with a dislocated ulnar bone in my wrist. I need to maintain ...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it appears that you have a dislocation of the wrist's distal radioulnar joint. I recommend performing a percutaneous pin fixation surgery, after which the pins can be removed in three weeks during an outpatient visit. Maintaining the position w...[Read More] Understanding Ulnar Dislocation: Treatment Options and Recovery Time
Understanding Shoulder Dislocation: Recovery and Sensation Issues
Dislocation of the left shoulder joint? Hello Dr. Lee: Last Thursday, I dislocated my left arm at the shoulder joint in Taitung. I was taken directly to the emergency room, where a doctor attended to me immediately. The diagnosis certificate stated dislocation and a fracture of t...
Dr. Li Yongheng Reply:
Hello, if you experience a lack of sensation in your left shoulder after a dislocation and reduction, be cautious of potential brachial plexus injury. Do not take this lightly; you must return for a follow-up appointment, and if necessary, a nerve conduction study should be perfo...[Read More] Understanding Shoulder Dislocation: Recovery and Sensation Issues
Understanding Toe Dislocation: Causes of Stiffness and Recovery Time
Dislocation - Sports Injury Three months ago, I dislocated my fourth toe, and it is still stiff and unable to bend like the others. What could be the reason for the stiffness? Is it because the swelling hasn't completely gone down? Sometimes, when I use it more frequently, l...
Dr. Li Yongheng Reply:
Hello, the fourth toe has been dislocated for three months and still cannot bend normally, which may be related to ligament damage or joint capsule contracture. It is recommended to soak in warm water and perform rehabilitation exercises for the toe joint. Generally, normal funct...[Read More] Understanding Toe Dislocation: Causes of Stiffness and Recovery Time
Understanding Dislocated Toes: Causes, Treatment, and Recovery
Dislocation - Sports Injury At the end of June this year, while playing basketball, I dislocated my left foot's fourth toe when I landed after jumping for a rebound. The first hospital I visited only applied a splint, which was removed after a week. However, due to persisten...
Dr. Li Yongheng Reply:
Hello, experiencing pain while walking more than three months after a toe dislocation is uncommon. I recommend that you return to the orthopedic clinic for an examination. If necessary, you may ask the physician whether a CT scan is needed to rule out any subtle fractures of the ...[Read More] Understanding Dislocated Toes: Causes, Treatment, and Recovery
Understanding Hand Injuries: Ligament vs. Triangular Fibrocartilage Damage
Fell while playing ball and landed on the right palm? The right hand has been injured for one month. An X-ray was taken, and there were no obvious fractures. The doctor did not provide much information, only recommending heat therapy. There is no pain when bending the wrist up an...
Dr. Li Yongheng Reply:
Based on your symptoms, you should pay special attention to the possibility of a scaphoid fracture, triangular fibrocartilage complex (TFCC) tear, or distal radioulnar joint dislocation. It has been one month since your injury, and experiencing pain during wrist rotation indicate...[Read More] Understanding Hand Injuries: Ligament vs. Triangular Fibrocartilage Damage
Understanding Wrist and Elbow Pain After a Car Accident: When to Seek Further Imaging
The wrist cannot rotate, and the elbow feels stiff? A car accident occurred in July, and I was taken to a nearby hospital where they examined a fracture in the inner bone of my elbow (I was put in a cast). There was no specific mention of my wrist at that time. After a week, I re...
Dr. Li Yongheng Reply:
Hello, the car accident injury has resulted in an elbow fracture, and there may also be damage to the wrist, particularly with regard to potential injuries such as scaphoid fractures, triangular fibrocartilage complex (TFCC) tears, and distal radioulnar joint dislocations. It has...[Read More] Understanding Wrist and Elbow Pain After a Car Accident: When to Seek Further Imaging
Alternatives to Surgery for Ankle Swelling and Bone Displacement
Swelling below the ankle with bone displacement? Hello, doctor: I would like to ask about the swelling below my ankle and a slight dislocation of the calcaneus. I have seen a doctor who said that surgery is necessary to realign it. Currently, I am walking with a slight limp, and ...
Dr. Wang Shouji Reply:
Hello: The human skeletal system rarely dislocates unless there is trauma or degeneration; recommendations should be based on the actual condition.[Read More] Alternatives to Surgery for Ankle Swelling and Bone Displacement
Understanding the Differences Between Clavicle Surgery Materials: Screws vs. Hooks
Clavicle self-paid materials Hello Doctor: Four months ago, I underwent surgery after a car accident where an artificial ligament was used to reposition a displaced bone. However, post-surgery, the bone has slightly displaced again. I returned for a follow-up, and the doctor ment...
Dr. Wang Shouji Reply:
Hello: Shoulder acromioclavicular joint dislocation is often temporarily stabilized by reducing the hook-shaped bone plate. Most patients still require removal, and it is rare for dislocation to occur again. Generally, there are no issues with removal.[Read More] Understanding the Differences Between Clavicle Surgery Materials: Screws vs. Hooks