Fracture, Orthopedics FAQ

Understanding Growth Plate Injuries: Impact of Playing Baseball on Recovery

Growth plate and fracture at the junction of the fingers? Hello Doctor: I am 14 years old. While playing sports, I accidentally injured my finger by hitting it against a carrot. I went to a nearby hospital for treatment, and after an X-ray, it was found that there is a crack in t...

Dr. Shen Boquan Reply:
Hello, after the X-ray, it was found that there is a crack in the growth plate of the left thumb joint and the bone above it, indicating a fracture. If it is indeed a fracture, early activity is not recommended to avoid improper healing. Wishing you good health, Shen Boquan.

Understanding Pin Displacement After Finger Fracture Rehabilitation

Dislocation of the little finger? Hello, I fractured my little finger in mid-April. After the stitches were removed, the doctor taught me how to rehabilitate it myself. Recently, after rehabilitation, a certain point on my little finger has become very painful and swollen. After ...

Dr. Chen Yongxue Reply:
Hello, a fracture of the little finger generally requires fixation with a steel pin. However, the bone quality of the little finger is not very good, so the fixation effect is naturally poorer compared to other bones. The displacement of the pin is not ideal and may be related to...

Assessing the Need for Dynamic Intramedullary Nail Surgery After Two Years of Nonunion

Is surgery for dynamization necessary for a femoral nonunion that has persisted for two years? Hello Dr. Chen, Two years ago, in February 2022, I was involved in a car accident and underwent surgery for an intramedullary nail fixation of the femur. Since then, the results have ...

Dr. Chen Yongxue Reply:
Hello, the attached X-ray shows a nonunion of the right femoral shaft fracture after treatment with intramedullary nailing. At this point, a "dynamization" approach can be utilized (removing the locking screws at the ends to promote compression at the fracture site), wh...

Risks of Leaving Bone Screws and Plates in After Fracture Surgery

Risks of leaving bone screws and plates in place? Hello Doctor, I had a tibial plateau fracture in my left leg due to a car accident in 2019. At that time, I had a titanium alloy plate and screws inserted at my own expense, with plans to remove them after a year. However, I becam...

Dr. Chen Yongxue Reply:
Hello, 1. In the future, if osteoporosis occurs with age, will it have an impact? No. 2. If a severe injury leads to a fracture, will the existing bone screws affect the fracture surgery? This is possible. Additionally, implants do not provide benefits when placed in the body...

Recovery Timeline for Distal Radius Fracture After Surgery

Distal radius fracture I had a car accident on April 28, resulting in a distal radius fracture in my left wrist. I underwent surgery to have a titanium alloy plate inserted at my own expense. It has been 11 days since the surgery, and I would like to ask the doctor how long it wi...

Dr. Chen Yongxue Reply:
Hello, the action of "riding a bike" is manageable, but pulling the bike requires too much strength. Additionally, in case of an emergency, your wrist is not suitable for exerting force. Therefore, it is advisable not to take any risks for the next two months. Thank you...

Understanding PCL Avulsion Fractures: Healing Status After Six Months

PCL avulsion fracture (six months duration) Hello Doctor: I had a car accident last November and was diagnosed with a PCL avulsion fracture. At that time, I did not undergo surgery and was only immobilized for two months. It has now been six months, and my orthopedic doctor arran...

Dr. Chen Yongxue Reply:
Hello, according to the MRI report you provided, the posterior cruciate ligament has not yet healed (which is actually to be expected). As for the treatment you should pursue, it depends on your daily activities: if you are an active person who enjoys sports, especially those tha...

Understanding Recovery After Distal Radius Fracture Surgery

Postoperative care for distal radius fracture? Hello Dr. Chen, I would like to ask if it is normal that my wrist cannot rotate more than four months after surgery for a distal radius fracture? I can't even twist a towel... Is it also normal for my hand to tremble when I hold...

Dr. Chen Yongxue Reply:
Hello, distal radius fractures are quite common and often occur when someone falls and tries to catch themselves with their hands. If a locking plate is used for fixation, the cast can usually be removed in one to two weeks, allowing for early rehabilitation. However, if a tradit...

Understanding Ankle Fractures: Surgery, Healing, and Walking Impact

Left ankle fracture and swelling of the left calf due to a car accident? Hello, I apologize for the inconvenience. I fractured my left ankle on May 2, 2024, and I had an X-ray taken. 1. There is slight displacement in the left ankle; is surgery necessary? 2. After the fracture he...

Dr. Chen Yongxue Reply:
Hello, I apologize for not being able to see your X-ray. If the medial malleolus fracture is non-displaced or minimally displaced, it can be treated with a cast without the need for surgery. However, if there is significant displacement or if there are associated fractures of the...

Understanding Rib Pain After a Fall: Causes and Remedies

There is rib pain? Hello doctor, last week I had a motorcycle accident, and after returning home, I started experiencing pain in my right rib. It hurts when I cough, press on it, or get up. Initially, I had an X-ray at the hospital, and the doctor said there were no fractures, bu...

Dr. You Dianqi Reply:
It is recommended to return for a follow-up appointment for the physician's evaluation. Thank you.

Can I Exercise After Removing Bone Screws from My Arm?

Can I exercise after having metal pins removed? Today I had a follow-up appointment. I have a left-sided ulnar fracture due to a bicycle accident (on April 17). I just had the metal pins removed today (May 7). There is a plate in my left hand, and the doctor said my bone is heali...

Dr. Zhan Xian Reply:
Hello, it is not recommended to engage in intense exercise until one month post-fracture surgery. However, for detailed rehabilitation progress, you should consult your attending physician who performed the surgery. Wishing you a safe recovery.

Understanding Ankle Fractures: Surgery vs. Conservative Treatment Options

Left ankle fracture due to a car accident? Hello, I fractured my left ankle on April 12th, and on May 2nd, an X-ray revealed a slight displacement. 1. Does this require surgery? Will conservative treatment allow it to heal? 2. Has the bone shifted significantly? 3. Will this affe...

Dr. Chen Bochen Reply:
The link you provided is not accessible.

Post-Surgery Recovery for Fifth Metatarsal Fracture: Healing Insights

Postoperative care for fifth metatarsal fracture? During this year's Lunar New Year, I suffered a fracture of the fifth metatarsal due to an accident. Because there was displacement, the doctor recommended surgical treatment. After the surgery, I rested at home for a month a...

Dr. Wang Shouji Reply:
You can visit the outpatient clinic for assessment, explanation, and examination.

Recovery Insights for Ankle Fractures and Swelling After a Car Accident

Left ankle fracture and swelling of the left calf due to a car accident? Hello, I apologize for the inconvenience. I sustained a closed ankle fracture (hairline fracture) on the left side in a car accident on April 12, 2024. The fracture is 1 cm in length, and while there is no i...

Dr. Shi Guozheng Reply:
1. It will heal in about three months. 2. It's normal; if there is swelling, elevating the leg usually helps it gradually subside. 3. It's possible. 4. Elevate the affected area and perform ankle exercises. 5. You can wear it; it doesn't necessarily need to...

Understanding Multiple Comminuted Fractures: Recovery and Rehabilitation Insights

Multiple comminuted fractures Hello, doctor. 🙇🏻‍♀️ I was in a car accident on the night of February 3rd, lost consciousness at the scene, and was taken to the hospital for emergency treatment. I was in a coma for three days and sustained multiple comminuted fractures, including i...

Dr. Shi Guozheng Reply:
1. Rehabilitation is necessary to gradually improve joint mobility. 2. It will take approximately six months or more.

Understanding Fifth Metatarsal Base Fractures: Treatment Options and Recovery

Base of the fifth metatarsal fracture? Hello Doctor, on March 1st, I sustained a lateral fracture of the base of the fifth metatarsal due to a fall. On March 16th, the fracture gap had widened, and the doctor recommended surgery to insert a screw, but also mentioned that I could ...

Dr. Wang Shouji Reply:
You can visit the outpatient clinic for evaluation, explanation, and examination.

Understanding Fifth Metatarsal Base Fractures: Treatment Options and Recovery

Base of the fifth metatarsal fracture? Hello Doctor, I sustained an injury from a fall on March 1st, and on March 2nd, an orthopedic evaluation diagnosed me with a fracture at the base of the fifth metatarsal. During my follow-up on March 16th, it was noted that the fracture gap ...

Dr. Chen Yongxue Reply:
Generally, fractures of the base of the fifth metatarsal typically do not require surgery. They usually heal well with approximately 8 to 10 weeks of cast immobilization, followed by about 4 to 6 weeks of rehabilitation after the cast is removed. However, a small number of patien...

Understanding Recovery from Tibial Comminuted Fractures After an Accident

Tibial comminuted fracture Hello, doctor. I had a car accident on February 3rd and suffered a comminuted fracture in my lower leg. Could you please tell me when I will be able to fully bear weight on my leg? It still feels numb and tingly. Thank you very much.

Dr. Shi Guozheng Reply:
Typically, the degree of fracture healing must be assessed to determine when it is safe to bear weight. Therefore, follow-up X-rays are required, which may take at least three to six months.

Recovery Timeline for Ankle Fracture and Muscle Swelling After Car Accident

Left ankle fracture and swelling of the left calf due to a car accident? Hello, I apologize for the inconvenience. I sustained a fracture (hairline fracture) on the inner side of my left ankle, approximately 1 cm in length, due to a car accident on April 12, 2024. 1. How long w...

Dr. Chen Bochen Reply:
1. How long does it take to heal, and how can we determine if there is any displacement of the fracture? A fracture typically heals in 2-3 months with proper immobilization. An X-ray can help determine if there is any displacement. 2. Is it okay to use a heating pad for heat the...

Understanding Wrist Fractures: When to Consider Hardware Removal

Wrist fracture I would like to ask about a wrist fracture I sustained from a fall in September 2020. I underwent self-funded surgery for a plate and screws. Since last year, I have been experiencing occasional pain in my wrist, and this year, I have developed persistent spasms an...

Dr. You Dianqi Reply:
Each person's condition and recovery process is different, so it is best to discuss this with your attending physician. Thank you.

Understanding Left Ankle Closed Fractures: Recovery and Care Tips

Closed fracture of the left medial malleolus? Hello, I apologize for the inconvenience. I sustained a closed fracture of the left lateral malleolus (1 cm long) in a car accident on April 12, 2024. Initially, I had a cast for immobilization, but due to swelling and pain caused by ...

Dr. Chen Yongxue Reply:
Hello, fractures must be stabilized for proper healing. If the fracture is stable, it can be immobilized using a cast, splint, or even a brace. However, for lower limb fractures, it is advised to avoid weight-bearing and to use crutches for mobility. The duration of immobilizatio...

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