Fracture, Orthopedics FAQ - Page 44

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Understanding Radial Head Dislocation and Fracture Recovery Options

Closed fracture of the right radial head on the right side of the right elbow? Hello Doctor, I was in a car accident on November 30th last year. At that time, I had an X-ray of my elbow in the emergency room, and they said there were no fractures, so no further treatment was done...


Dr. Shi Guozheng Reply:
It has been almost three months since the fracture, and it may have already healed. If that is the case, it is still recommended to continue rehabilitation. Radial head fractures are often difficult to diagnose, and if there is displacement, the surgical outcome may not be very f...

[Read More] Understanding Radial Head Dislocation and Fracture Recovery Options


Post-Operative Care and Rehabilitation for Humerus Fractures: Key Insights

Postoperative care for humeral fracture? I apologize, but Dr. Chen has some questions to ask. My mother (around 60 years old) was in a car accident in mid-September 2020, and she was taken to the emergency room and underwent surgery. Currently, the doctor has advised aggressive r...


Dr. Chen Yongxue Reply:
1. The X-ray taken at the end of December 2020 shows a bone fragment in the shoulder joint, which likely corresponds to the attachment site of the supraspinatus muscle. This could be a primary reason for the inability to raise the arm. Such findings can occasionally be seen in pa...

[Read More] Post-Operative Care and Rehabilitation for Humerus Fractures: Key Insights


Should You Remove Surgical Plates and Screws After Ankle Surgery?

Should the metal screws and plates be removed after surgery? Hello, Doctor. On January 14, I underwent surgery for a fibula fracture and tibial dislocation in my left ankle, during which 9 screws and 1 plate were inserted. Although I opted for a self-funded plate that does not ne...


Dr. Cai Shanglin Reply:
Hello Annie, You have undergone ankle fracture surgery with fixation using plates and screws. Typically, recovery takes several months. If the healing process goes smoothly and you do not experience discomfort, the plates can remain in place. However, if you experience pain due...

[Read More] Should You Remove Surgical Plates and Screws After Ankle Surgery?


Preventing Muscle Loss During Recovery from Metatarsal Fractures

Prevention of Muscle Atrophy Following Metatarsal Fractures Hello, Dr. Wang. On February 6, 2021, I twisted my ankle while walking down the stairs. I had an X-ray in the emergency room, which showed a transverse fracture of the fifth metatarsal, and I am currently in a cast. I wo...


Dr. Wang Shouji Reply:
Hello, for foot fractures, elevating the leg and flexing the ankle joint can help reduce muscle weakness and atrophy. Raising the lower limb can also decrease swelling in the foot. Changhua Hospital cares about your health. Sincerely, Wang Shou-ji.

[Read More] Preventing Muscle Loss During Recovery from Metatarsal Fractures


Understanding Recovery from Fractured Toes: Key Questions Answered

Comminuted fracture of the distal phalanges of the right foot, toes 2 to 4? I apologize for asking again: I sustained an injury to my toes on January 7th when a heavy table fell on them, resulting in fractures of the distal phalanges of toes 2 to 4. The toenail on toe 2 has falle...


Dr. Shi Guozheng Reply:
1. About two months. 2. If there are no wounds on the feet, soaking them is fine. 3. Usually, there won't be any significant impact.

[Read More] Understanding Recovery from Fractured Toes: Key Questions Answered


Understanding Knee Injuries: Causes, Treatment, and Rehabilitation Tips

Knee contusion/swelling Hello Doctor: I was in a car accident and injured my right knee. Initially, I couldn't bend it at all, and bending it caused pain, making it feel like the strength couldn't transfer from my knee to my calf. If I lift my leg without support, my ca...


Dr. Shi Guozheng Reply:
1. Knee joint contusions typically take one to two months to heal; if there is a fracture, it may take three to four months. 2. If the knee joint is still warm, ice therapy should be applied. If the joint is just very tight and cannot bend, then heat therapy can be used. 3. R...

[Read More] Understanding Knee Injuries: Causes, Treatment, and Rehabilitation Tips


Managing Ulnar Styloid Fractures: When to Seek Medical Advice

Radius and ulna fracture Hello doctor, last June I slipped and fell, which resulted in a fracture of the left ulnar styloid process after a hospital examination. I rested for a few months and it improved significantly, but in the past few days, due to work, I have been using my h...


Dr. Shi Guozheng Reply:
You should consult a physician to assess whether the fracture has healed before proceeding with any further treatment.

[Read More] Managing Ulnar Styloid Fractures: When to Seek Medical Advice


Understanding Patellar Fractures: Recovery Tips and Pain Management

Patellar fracture Hello Doctor: I accidentally fell on February 5th and my left knee hit the ground directly. Initially, it was fine, but after 2 to 3 hours, it started to swell and hurt when I straightened or bent my knee. I started icing it at home. After two days of icing, the...


Dr. Chen Bochen Reply:
1-2. It is recommended to use a cane; if improper weight-bearing leads to a fracture separation, surgery may be required, which would be counterproductive. 3. Using a knee brace can be beneficial.

[Read More] Understanding Patellar Fractures: Recovery Tips and Pain Management


Understanding Recovery from Radial Bone Fracture: Concerns and Rehabilitation

Radial fracture Hello Doctor, I fractured my right radius on January 24th (approximately in the middle) and underwent surgery to implant a steel plate on January 25th. I had my stitches removed a few days ago. Since I am an artist, I am very anxious about my recovery. I have seve...


Dr. Chen Yongxue Reply:
1. Difficulty in flipping the arm and extending it, with a noticeable protrusion at the site of the steel plate that feels hard to the touch. I would like to know if this indicates that the plate may need to be removed later. You are still very young, and it would be better to re...

[Read More] Understanding Recovery from Radial Bone Fracture: Concerns and Rehabilitation


Should You Consider Surgery for Slow-Healing Fifth Metatarsal Fractures?

Is surgery necessary for a fifth metatarsal fracture with a wide gap and slow bone healing? On November 8, 2020, I sustained a fracture of the fifth metatarsal. The doctor recommended either a cast or a brace, and I chose to wear a brace (similar to a walking boot with a raised s...


Dr. Chen Bochen Reply:
Patients receiving Xgeva may experience delayed bone healing; however, percutaneous minimally invasive nailing can accelerate the healing process with relatively low risk.

[Read More] Should You Consider Surgery for Slow-Healing Fifth Metatarsal Fractures?


Post-Surgery Recovery Challenges After Fifth Toe Fracture: Seeking Solutions

Postoperative care for metatarsal fractures? I fell on May 20, 2020, and it was confirmed that I had a fracture of the fifth toe. I underwent surgery on September 18. Even after the surgery, I still experienced significant pain and soreness in my calf, and I couldn't stand o...


Dr. Wang Shouji Reply:
Hello, toe fractures typically take about 6 months to heal completely, depending on your age. First, it is important to confirm whether the internal fixation devices are irritating the soft tissues and causing pain. If that is a possibility, they will need to be removed before th...

[Read More] Post-Surgery Recovery Challenges After Fifth Toe Fracture: Seeking Solutions


Post-Surgery Complications: Managing Infections After Tibia and Fibula Fractures

Postoperative care for tibia and fibula fractures? Hello Dr. Chen, three months ago I fell and fractured my tibia and fibula. I had surgery on both sides of my ankle, with two screws inserted on each side. One side is healing well, but the other side's wound has not yet heal...


Dr. Chen Bochen Reply:
Find a hospital for a blood test + consult with a surgeon (orthopedic specialist) to determine if there is an infection. If an infection is present, debridement treatment is necessary, as delaying treatment can lead to more severe complications. Wishing you a speedy recovery.

[Read More] Post-Surgery Complications: Managing Infections After Tibia and Fibula Fractures


Understanding Chest Pain After a Fall: Causes and Treatment Options

When slipping and falling, I felt a vibration in my chest, followed by chest pain? (1) The reason for the chest pain after falling while sitting down could be due to a few factors. It is possible that the impact caused a strain or injury to the muscles or cartilage in the chest a...


Dr. Shi Guozheng Reply:
1. It is possible to have blunt trauma to the sternum due to the transmission of pressure, similar to how sitting down abruptly can injure the lumbar spine, potentially leading to a compression fracture of the lumbar vertebrae. 2. For medication treatment, local heat applicatio...

[Read More] Understanding Chest Pain After a Fall: Causes and Treatment Options


Persistent Pain and Swelling in the Fifth Toe: What to Know

Pain in the fifth toe? Hello, doctor. In August 2020, during the summer vacation, I accidentally kicked a door. Until now, my fifth toe is still red and swollen, and there is a noticeable bump when I touch it. It doesn't hurt much, but there is still some pain when I press o...


Dr. Shi Guozheng Reply:
Toe fractures can heal on their own, but if pain persists, medical attention is necessary, as sometimes the bones may heal improperly or be misaligned.

[Read More] Persistent Pain and Swelling in the Fifth Toe: What to Know


Is My Injured Pinky Finger Serious After a Volleyball Accident?

Fracture after impact? Two years ago, when I was in my first year of high school, I fractured my pinky finger while playing volleyball. I underwent surgery and had a metal plate inserted. The doctor said it could remain in place, so it has been there ever since. However, yesterda...


Dr. Chen Bochen Reply:
If there is no improvement after a week, get an X-ray so you won't have to worry constantly.

[Read More] Is My Injured Pinky Finger Serious After a Volleyball Accident?


Is My Injured Pinky Finger Serious After Hitting the Ground?

Fracture after impact? Two years ago, when I was in my first year of high school, I fractured my pinky finger while playing volleyball. I underwent surgery and had a metal plate inserted. The doctor said it could stay in, so it has remained there. However, yesterday, while receiv...


Dr. Chen Bochen Reply:
If there is no improvement after a week, consider getting an X-ray so you won't have to worry constantly.

[Read More] Is My Injured Pinky Finger Serious After Hitting the Ground?


Leg Length Discrepancy After Femur Fracture Surgery: Causes and Concerns

After the removal of the metal pins from a femoral fracture, the leg has become longer? Hello Doctor, I fractured my left thigh in a car accident and underwent surgery to remove the metal pins on January 20th of this year. My condition has been good, but after being discharged, I...


Dr. Zhan Xian Reply:
Hello Ms. Chi, a femoral fracture may potentially lead to complications such as changes in bone length, either elongation or shortening. However, there is no need to worry excessively. If there was no noticeable leg length discrepancy prior to the removal, the length of the bone ...

[Read More] Leg Length Discrepancy After Femur Fracture Surgery: Causes and Concerns


Chronic Ankle Shortening and Muscle Tension After Old Leg Fracture

The muscle and tendon tissue at the site of an old fracture in the calf is being pulled, resulting in a persistent shortening of the ankle extension? Approximately 30 years ago, I sustained an open fracture of the left tibia in a car accident. The steel rod that was placed to sup...


Dr. Shi Guozheng Reply:
It may be related to tissue adhesions, so you can try rehabilitation to see if it alleviates the symptoms. If there is no improvement, further evaluation will be needed to determine if surgery is necessary.

[Read More] Chronic Ankle Shortening and Muscle Tension After Old Leg Fracture


Post-Thoracic Surgery: Why Can't My Left Heel Support My Weight?

After thoracic spine surgery, the left heel is unable to bear weight? Hello Doctor: I suffered a burst fracture of the twelfth thoracic vertebra last October and had steel rods and bone cement implanted. Currently, I am able to walk with both legs. However, my left heel cannot su...


Dr. Chen Bochen Reply:
Based on the information you provided, it appears that the primary injury is to the L5 nerve. The MRI shows no stenosis at the L4/5 level, but the L5 nerve may have been injured at the T12 level. It is recommended that, in addition to investigating the cause, active rehabilitatio...

[Read More] Post-Thoracic Surgery: Why Can't My Left Heel Support My Weight?


Understanding Healing Time After Fifth Metatarsal Surgery

Healing time after fifth metatarsal surgery? Hello Doctor, I sustained a fracture of the fifth metatarsal while playing soccer on October 15, 2020. The doctor provided me with a foot brace, but due to work-related activities, I had to move around for a month after the injury, and...


Dr. Zhan Xian Reply:
Hello Mr. Hogan, the improvement of symptoms is a positive sign, but whether healing has occurred will require follow-up in the outpatient clinic.

[Read More] Understanding Healing Time After Fifth Metatarsal Surgery


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