Elbow fracture, Orthopedics FAQ

Persistent Discomfort After Elbow Surgery: Is It Normal?

Experiencing discomfort one year after the removal of metal screws? Hello, I had an elbow fracture from a car accident last year, and I had six screws removed six months ago. It has now been six months since the removal, and my range of motion is good, but the surgical site is st...

Dr. Shi Guozheng Reply:
Post-surgical hypertrophic scarring, commonly known as keloids, is related to individual predisposition. If the scars are painful or cosmetically unappealing, it is advisable to consult a plastic surgeon to evaluate the need for treatment.

Understanding Elbow Fractures: Surgery and Hyaluronic Acid Injections

Elbow Fracture (Part II) Hello, Doctor! Thank you for your previous response! I am currently continuing with outpatient treatment, but the rehabilitation results are still not satisfactory. My left arm can bend normally but cannot reach my shoulder; it can extend to about 160 deg...

Dr. Shi Guozheng Reply:
Continuous rehabilitation is necessary; hyaluronic acid may not necessarily improve joint mobility. It primarily serves to lubricate the surface cartilage and has some effect in delaying the progression of osteoarthritis.

Understanding Elbow Fractures: Impact of Bone Fragments on Recovery

Elbow fracture Hello Doctor: Earlier this year, I suffered a humeral fracture in my left arm due to a car accident. I have been undergoing rehabilitation for the past six months. Last week, I had surgery to remove the bone screws, but I still cannot bend my fingers to touch my sh...

Dr. Shi Guozheng Reply:
Post-operative swelling typically lasts for about one to two months, which should not be related to the fractured bone. The degree of joint flexion is associated with the swelling. Unless the fracture is near the joint surface, it is not related. Continuing rehabilitation may hel...

Improving Elbow Flexion After Complex Ulnar Fracture Surgery

Comminuted fracture of the ulna!!! Dear Director, Several years ago, I suffered a comminuted fracture of the ulna due to a car accident. After an emergency surgery, a steel pin was inserted, which was removed three months later. An X-ray revealed that the fracture of the olecran...

Dr. Li Wenlin Reply:
Hello: Stiffness resulting from an elbow fracture may be due to poor fracture healing or joint adhesions. Conservative treatment includes active rehabilitation or manipulation under anesthesia. More invasive options involve surgically releasing the adhesions. These approaches may...

Understanding Elbow Fractures in Young Athletes: A Parent's Guide to Recovery

Elbow fracture My son is graduating from junior high school, and on May 16, 2008, he suffered a fracture above his elbow (just above the wrist) during a hurdle race in physical education class. He underwent surgery and had a steel plate fixed in place. However, a month later, the...

Dr. Wang Shouji Reply:
Ningshan: Since the child is an athlete, theoretically, there should be no significant issues with bone quality. If the fracture is located in the distal radius or ulna above the wrist, surgical fixation with a plate should provide sufficient stability. However, if the fracture i...

Understanding Elbow Deformity Surgery: Risks, Recovery, and Recommendations

Could you please provide more details about the elbow flexion surgery? Hello, Doctor. I had an open fracture of my right elbow during childhood, which resulted in a misalignment and a noticeable curvature of over twenty degrees. Although the grip function of my right arm is intac...

Dr. Ye Qingnian Reply:
A pediatric elbow fracture can lead to either valgus or varus deformity, but joint mobility is generally normal. If considering surgery for re-internal fixation, there are several risks to be aware of: 1. Wound infection 2. Nonunion at the fracture site 3. Limited range of motion...

Understanding Elbow Fractures in Children: Rehabilitation and Recovery Insights

Elbow fracture Dear Director Li, First of all, I must sincerely ask for the understanding of the Taiwan e-Hospital medical consultation team, as I only discovered this medical consultation platform yesterday. I immediately sent an email to Dr. Shih Kuo-Cheng and today I eagerly ...

Dr. Li Wenlin Reply:
Hello, In response to your question, Director Shi may have already provided you with a satisfactory answer. Here’s a brief response to your inquiries: 1. Regarding your child's condition, rehabilitation therapy is generally not necessary. Recovery of joint range of motion...

Understanding Pediatric Elbow Fracture Rehabilitation and Treatment Options

Elbow fracture Hello, Doctor: After browsing the "Online Q&A," I found that others have asked you similar questions, so I would like to inquire about related issues: Situation 1: My child suffered an injury six months ago, with a laceration near the elbow joint of...

Dr. Shi Guozheng Reply:
1. Careful execution should help improve the range of motion in the joints. 2. The assessment involves observing the changes in elbow joint range of motion before and after the mobilization technique, typically performed once, but it can be repeated if necessary. The effects can ...

Managing Itching and Healing Time After a Child's Elbow Fracture

Elbow fracture A 10-year-old child has a left elbow fracture and underwent pinning on March 25, followed by the application of a cast on the left arm. The child has been experiencing persistent itching, and although the doctor prescribed an anti-itch medication, the effect has be...

Dr. Li Wenlin Reply:
Hello, in response to your question... A 10-year-old child has a left elbow fracture. On March 25, a pin was inserted and a cast was applied, likely due to a supracondylar humeral fracture. The pin fixation combined with the cast will require four to six weeks. Generally, an X-ra...

Understanding Elbow Fractures: Healing, Surgery, and Rehabilitation

Help! Hello, I have had an elbow fracture for over two months, and I have been in a cast for seven weeks. The doctor said I need to remove the metal screws, but the olecranon fracture has not yet healed. Is it advisable to remove the screws? The doctor mentioned that since the ol...

Dr. Yang Zhengfan Reply:
Your situation is quite complex. Generally, metal screws are not removed before a fracture has fully healed. The doctor's statement seems a bit unusual. I suggest you seek a second opinion; there may be different perspectives on your case.

Post-Accident Elbow Recovery: Seeking Solutions for Stiffness After Surgery

I'm sorry, but I need specific content to translate. Please Hello, Doctor. I had a serious elbow fracture due to a car accident last year. Three months later, after the doctor removed the screws, my elbow still cannot bend or straighten, and rehabilitation has not been effec...

Dr. Wang Zikang Reply:
Dear Xiaosong, In cases of elbow fractures, if the fracture is comminuted and involves the joint surface, it can easily lead to elbow joint stiffness and limited range of motion. The decision to remove the fixation screws depends on several factors: 1. The location of the screw...

Understanding Joint Stiffness After Elbow Fracture Surgery

Joint stiffness Hello, Doctor. I suffered a ulnar fracture in my left elbow due to a car accident. After undergoing internal fixation with steel pins, they were removed less than three months later. However, I later discovered that my elbow is severely stiff, with a flexion angle...

Dr. Shi Guozheng Reply:
Olecranon fractures of the elbow joint typically require fixation for a period of time, and once the fracture has healed, the screws can be removed. Before that, early mobilization of the joint should be encouraged to prevent stiffness. Currently, rehabilitation should be initiat...

Understanding Intramedullary Nailing: Open vs. Closed Reduction in Fracture Surgery

The procedure of fixing a fracture by placing screws directly at the fracture site without performing an open surgery is known as "percutaneous screw fixation." Hello Director Shih: During a fracture surgery, if the treatment involves solely the insertion of bone screws...

Dr. Shi Guozheng Reply:
This is called percutaneous internal fixation for fracture, which can be found in the National Health Insurance payment standards (revised on July 1, 2004) in Volume 1, Chapter 2, Section 7, p. 11. It is typically used for distal radius fractures or elbow fractures in children.

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