Fracture, Orthopedics FAQ

Understanding Lumbar Vertebra Fractures: Causes, Symptoms, and Treatment Options

Fracture of the fifth lumbar vertebra? I have recently experienced unexplained pain in my lower back and legs. An X-ray examination at the hospital initially indicated a fracture of the fifth lumbar vertebra. A follow-up MRI is scheduled. As I am currently serving in the military...

Dr. Chen Bochen Reply:
Hello, if there is no significant trauma, a fracture of the fifth lumbar vertebra usually refers to a spondylolysis, which is a condition of incomplete congenital development. Generally, as long as there are good exercise habits and avoidance of prolonged sitting and heavy liftin...

Understanding Talus Fractures: Recovery and Pain Management After Surgery

Talus fracture Hello, doctor. On August 15th of this year, I twisted my left ankle while jumping and landing during a badminton game (there was a dislocation), which resulted in a comminuted and displaced fracture of the talus (this is the diagnosis given by the doctor). I was ta...

Dr. Chen Bochen Reply:
Hello, generally speaking, if a fracture has successfully healed, you can gradually increase the intensity of rehabilitation to recover. However, whether it has healed properly must be determined by the surgeon based on imaging and clinical symptoms. Additionally, talus fractures...

Understanding Scaphoid Fractures: When Surgery is Not Necessary

Scaphoid fracture I had a car accident in August 2020, which resulted in a non-displaced scaphoid fracture in my left wrist. The treatment provided by the physician was a cast for 1.5 months, followed by a splint for about 2 months. After that, I returned for follow-up appointmen...

Dr. Shen Boquan Reply:
Hello, the scaphoid bone in your left wrist has a non-displaced fracture. After a year of conservative treatment, if you are not experiencing significant pain or discomfort, and medication can alleviate any pain, then surgery may not be necessary. Only consider surgery if you hav...

Post-Surgery Recovery: Removing Clavicle Pins and What to Expect

Removal of metal pins surgery Last year, I had a car accident that resulted in a fractured clavicle, for which I underwent surgery to insert a steel plate. It has been a year since then. I would like to ask the doctor: 1. After the removal of the steel plate from the clavicle, ho...

Dr. Chen Bochen Reply:
Last year, I had a car accident that resulted in a fractured clavicle, and I underwent surgery to insert a steel plate. It has been a year since then. I would like to ask the doctor: 1. How long should I rest after the removal of the steel plate from my clavicle before I can li...

Understanding Sacral Fractures: Recovery Tips and Pain Management

Cervical spine issues? Hello, doctor. I would like to ask about a fall that resulted in an injury, and after examination, it was found to be a fracture of the right sacral vertebra. Are there any activities I should avoid? If I sit on a pressure-relief cushion or a donut cushion,...

Dr. Shi Guozheng Reply:
1. It can improve symptoms of pain and numbness. 2. Once the pain subsides, there is a possibility of improved mobility. 3. Lying on the side may provide some relief. 4. Surgery is not necessary because natural healing is expected.

Recovery Timeline for Pelvic and Sacral Fractures: What to Expect

Fractures from a car accident? Sacral and pubic bone fractures are currently being managed with bed rest as advised by the doctor. When can I expect to be able to sit up or use a wheelchair? Will this affect my menstrual cycle (as it was regular before the injury and is now delay...

Dr. Wang Shouji Reply:
Hello, for fractures of the sacrum and pubis, you may attempt to sit and stand while walking, but avoid excessive pressure on the fracture site. It is advisable to discuss with your physician, as the recovery time may vary depending on the severity of the fracture. Changhua Hospi...

Post-Surgery Pain in Orthopedic Patients: Is It Normal?

Post-surgery..? Hello doctor, I would like to ask a question. My husband fell from a ladder while working at a construction site on September 28. The doctor said he shattered his heel and had donor bone implanted, along with a plate and screws. It has been over a month now, but s...

Dr. Wang Shouji Reply:
Hello, calcaneal fractures can cause swelling and pain in the heel for several months. Initially, there may be a sharp pain when putting weight on the heel. It is advisable to shift your weight forward to the front of the foot. After the fracture heals, most symptoms will gradual...

Understanding Ankle Fractures: Recovery, Pain, and Treatment Insights

Tear fracture of the ankle Last month, my boyfriend was in a car accident. Three days later, he woke up with pain in his left ankle and went to the hospital for an X-ray. The doctor informed him that there was a fracture. Initially, walking was uncomfortable and he had a noticeab...

Dr. Chen Bochen Reply:
Hello, fracture healing generally takes 2-3 months. Therefore, the brace should also be worn for 2-3 months. For the first 1-2 weeks after the fracture, it is important to apply ice and elevate the leg. After that, you can switch to heat therapy.

Understanding Lumbar Compression Fractures: Symptoms, Care, and Recovery Tips

Lumbar vertebral fracture Hello doctor, the patient has a compression fracture of the second lumbar vertebra and has been resting for 6 weeks. However, he experiences mild soreness in the right thigh and hip while walking. What could be the reason for this? Is it appropriate to w...

Dr. Chen Bochen Reply:
Hello. 1. Spinal fractures can sometimes be accompanied by partial nerve compression, leading to leg pain, but they may also result from contusions of the thigh or hip at the time of the spinal injury. 2. A back brace typically needs to be worn for 2-3 months; it does not need to...

Post-Surgery Pain and Recovery After Removing Exposed Bone Pins

After the removal of the exposed metal pins? A few days ago, I had the exposed steel pin removed from the area just below my left wrist. Since then, whenever I try to lift anything, I experience significant pain and soreness in the wrist and the area where the pin was removed. I ...

Dr. Zhan Xian Reply:
A physical examination and imaging assessment are required; please visit the orthopedic outpatient clinic!

Understanding Periosteal Injuries: Recovery Tips and Dietary Advice After a Car Accident

Car accident injuries? Hello Doctor, a few weeks ago I was injured in a car accident, and my knee was severely affected. I have been seeing doctors for several weeks, but it hasn't healed yet. The doctor told me that I have a periosteal injury. 1. What is a periosteal inju...

Dr. Shi Guozheng Reply:
1. The periosteum is a layer of soft tissue that covers the surface of the bone, which is typically only visible after incising the skin and muscle. Physicians often vaguely refer to periosteal injury, usually indicating a soft tissue contusion. True periosteal rupture occurs in ...

Preventing Bone Spurs After Femoral Shaft Fracture: Recovery Tips

Femoral shaft fracture with bone spur? In September, I suffered a closed fracture of the femoral shaft due to a car accident. I have already undergone intramedullary nailing for stabilization. I would like to inquire about how to prevent bone spurs and what can be done to promote...

Dr. Shi Guozheng Reply:
1. Bone spurs do not develop at the site of a fracture; they form around the joints, so there is no need to worry. 2. Before a fracture heals, it is necessary to perform certain rehabilitation exercises. Healing typically takes about six months, and training muscle strength is ve...

Post-Surgery Stiffness in Pediatric Humerus Fracture: Seeking Solutions

Postoperative angular stiffness of the left humerus in a pediatric patient with a lateral condyle fracture? Dear Doctor, On March 13, just before turning four years old, my child accidentally fell from the bed and sustained a deformity in the left elbow due to a fracture. That e...

Dr. You Dianqi Reply:
Hello: As a parent myself, I understand your feelings. It truly pains me to hear about your child's condition. Would it be convenient for me to explain this to you in person? I find that written communication often fails to convey the precise information I wish to share with...

Managing Cosmetic Concerns After Clavicle Fracture Healing

Clavicular nonunion with a prominent callus? Hello, Dr. You. About two years ago, I had a closed fracture of the distal end of my right clavicle due to a car accident. The doctor recommended conservative treatment, using a figure-eight shoulder strap and a triangular bandage for ...

Dr. You Dianqi Reply:
Hello: Once a bone has healed, it is generally advised not to move it again. Regarding your symptoms, I personally recommend a more thorough evaluation to clarify whether they are related to the healing of the clavicle fracture but with shortening. Any advice I provide from behin...

Post-Surgery Concerns for Ankle Fracture Recovery

Postoperative Issues Following Ankle Fracture Surgery Hello, doctor. My husband had an open fracture of his right ankle from a car accident a few days ago, and he underwent surgery today to have a metal plate inserted. He has been experiencing recurrent fevers every day, and afte...

Dr. You Dianqi Reply:
Hello: The occurrence of fever without any accompanying symptoms is not common. Please discuss this with the surgeon as soon as possible to ensure that your husband is within the normal range of postoperative recovery. We hope for a swift recovery for your family.

Understanding Clavicle Fractures: Recovery, Rehabilitation, and Hardware Removal

Clavicle fracture Hello, Doctor You. I would like to ask about my left clavicle fracture, which has been surgically fixed with health insurance-covered screws for about three months now (in a sling). The X-ray shows that the bone has healed, but I am unable to raise my arm high. ...

Dr. You Dianqi Reply:
Hello: A normal clavicle fracture should recover quite well after three months post-surgery, and there should be no need for a sling. When your condition does not align with typical medical expectations, I become particularly concerned that my explanations may not correspond to y...

Understanding Fifth Metatarsal Fractures: Recovery and Weight-Bearing Tips

Fracture of the fifth metatarsal bone? Hello: Last week, I rolled my right foot while stepping on the edge of a white frame on the track. The next day, I experienced pain and was unable to stand. After seeing a doctor, it was determined that I have a fracture of the fifth metatar...

Dr. You Dianqi Reply:
Hello: Your fracture displacement is not severe. It is recommended that the cast can be removed after 4 to 6 weeks. For the time being, please focus on non-weight bearing. Thank you, and I wish you a speedy recovery.

Recovering from Pelvic Fractures: Tips for Home Care and Mobility

Pelvic fracture About 10 days ago, I suffered a pelvic fracture due to a car accident. However, the doctor said that surgery is not necessary and that I just need to rest at home for a month. I usually use a bedside commode for toileting and sometimes sit to eat and read. I don&#...

Dr. Wang Shouji Reply:
Hello, if a pelvic fracture does not affect the joints, it is often managed non-surgically. However, if weight-bearing activities are limited, early mobilization with the assistance of a walker is recommended to reduce muscle atrophy and accelerate recovery. It is advisable to di...

Limited Knee Joint Mobility After Fracture: Causes and Solutions

Limited range of motion in the knee joint after a fracture? Hello Doctor, last year I suffered an open fracture of the distal femur (near the knee) in a car accident, along with a fractured patella, and underwent internal fixation surgery. The bone has healed since then, but duri...

Dr. Chen Yongxue Reply:
Hello, 1. When the knee joint is flexed to 80 degrees, and it cannot be further increased even with mechanical loading, accompanied by a feeling of tightness around the knee, could this be solely an adhesion issue? Or is there a possibility that the joint mobility is affected b...

Understanding Recovery from Right Shoulder Fracture Surgery: Key Questions Answered

Right shoulder humeral comminuted fracture? Hello, Doctor! I sustained a comminuted fracture of the right humerus due to a sports accident on October 11, and I underwent ORIF (Open Reduction and Internal Fixation) surgery on October 12. I would like to ask the following questions...

Dr. Chen Yongxue Reply:
Hello, after undergoing internal fixation surgery for a comminuted humeral fracture on October 12th, I have a few questions: 1. Should I continue to wear the shoulder sling post-surgery? In most cases, it is recommended to wear it for six weeks, unless it is a simple linear frac...

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