Understanding L5 Spinous Process Dissociation: Implications and Treatment Options
L5 vertebral arch dissociation (without spondylolisthesis of the sacrum)? 1. There is a lumbosacral dissociation of the fifth lumbar vertebra, and the sacrum is not displaced (the fifth lumbar vertebra does not contain spinal cord tissue, so it will not injure the spinal cord; is...
Dr. Chen Bochen Reply:
1. Most cases of spondylolysis are due to congenital structural issues, and they tend to separate on their own as a person ages. Cases caused by trauma account for less than 10%. Spondylolysis is quite common, occurring in about 3 to 5 individuals per 100 people. 2. Individuals...[Read More] Understanding L5 Spinous Process Dissociation: Implications and Treatment Options
Understanding Complications and Treatment Options for Finger Fractures
Crush fracture of the distal phalanx of the right ring finger? Hello Dr. Zhan, due to a car accident, I have sustained a comminuted fracture of the distal phalanx of the right ring finger (middle segment). After cleaning the wound and the fragmented bone, it was sutured. Currentl...
Dr. Zhan Xian Reply:
Hello Mr. Chuo, this requires physical examination and imaging studies. Please visit the orthopedic outpatient clinic.[Read More] Understanding Complications and Treatment Options for Finger Fractures
Understanding Toe Fractures: When to Consider Casting or Surgery
Toe fracture Hello Dr. Shi, I sustained a fracture in my right little toe due to a car accident on October 19, and it has been almost a month since then. The swelling has not subsided, and my foot continues to feel numb, with pain while walking. On the day of the accident, the do...
Dr. Shi Guozheng Reply:
A fracture of the fifth metatarsal that does not have significant displacement does not require surgery. It is sufficient to immobilize the fourth and fifth toes. Follow-up X-rays should be taken in two weeks to check for any changes. Generally, casting is not necessary, and heal...[Read More] Understanding Toe Fractures: When to Consider Casting or Surgery
Understanding Compression Fractures: Treatment Options and Concerns
Vertebroplasty for compression fractures? Hello Doctor, my father is 63 years old. Last month, he experienced severe back pain after lifting heavy objects. His daily activities remain normal, but when he lies down for a long time and tries to get up, the pain in his lower back pr...
Dr. Chen Bochen Reply:
1. Compression fractures are most painful when getting out of bed, sitting down, or standing up. 2. Bone stabilization with a brace typically takes close to two months to heal; however, if the pain is intolerable, vertebroplasty, commonly known as cement augmentation, can be co...[Read More] Understanding Compression Fractures: Treatment Options and Concerns
Understanding the Severity of Right Distal Radius Fractures: Surgical Necessity
Distal right radius comminuted fracture issues? Dear Dr. Shih Kuo-Cheng, The patient has already undergone X-ray imaging at another medical facility, which diagnosed a "right distal comminuted radius fracture." However, due to strong objections from the family against ...
Dr. Shi Guozheng Reply:
The best treatment method for a distal radius comminuted fracture is open reduction and internal fixation with bone screws, as this yields the best results. If conservative treatment is chosen instead of surgery, it is likely that surgery will still be necessary in the future, wh...[Read More] Understanding the Severity of Right Distal Radius Fractures: Surgical Necessity
Understanding Walking Issues After Femur Fracture Recovery
Issues with walking after a femoral fracture? Hello doctor, I had a car accident on July 5th and fractured my femur. During my follow-up appointment on September 25th, the doctor said my recovery was progressing well. By October 22nd, I was using crutches and started walking on m...
Dr. Zhan Xian Reply:
Hello, Xiao Rong. Muscle strength requires training, and whether a fracture has healed properly needs to be assessed through imaging and physical examination. If necessary, you can visit the orthopedic outpatient clinic.[Read More] Understanding Walking Issues After Femur Fracture Recovery
Post-Tibia Fracture Recovery: Pain, Swelling, and Return to Work
Postoperative care for tibial fracture? Hello, doctor. I fractured my left ankle's tibia in early February this year, and it has been over six months since then. My foot is still swollen, painful, and numb. Is this normal? Additionally, I would like to ask how long I would n...
Dr. Chen Yongxue Reply:
Hello, it has been over six months since the fracture surgery, and my foot is still swollen, painful, and numb. Should I consult a physician to check if the metal screws need to be removed? The screws would only be removed after confirming that the fracture has healed. Generally,...[Read More] Post-Tibia Fracture Recovery: Pain, Swelling, and Return to Work
Post-Knee Surgery Concerns: Recovery Timeline and Expectations
Post-operative issues after knee surgery? I underwent an open reduction and internal fixation of my knee, and four titanium screws were added during the surgery. It has been two months since the operation, but there is still some swelling in my knee that has not completely resolv...
Dr. Shi Guozheng Reply:
Typically, it takes about three months for a fracture to heal. To determine if it has fully healed, an X-ray is necessary. Currently, being able to bend the joint to 90 degrees is reasonable, and you can continue with rehabilitation.[Read More] Post-Knee Surgery Concerns: Recovery Timeline and Expectations
Can a Motorcycle Accident Cause Rib Fractures and Pneumothorax Without Direct Impact?
Regarding the car accident, the other party's medical report indicates rib fractures and pneumothorax? Hello, doctor. I would like to ask a question regarding an accident. In a T-bone motorcycle collision involving two motorcycles, where neither the vehicles nor the riders f...
Dr. Zhan Xian Reply:
Hello Mr. Tsai, rib fractures from a car accident are possible. Whether hospitalization and surgery are necessary depends on the condition of the fracture, the presence of pneumothorax, and whether there are any other associated injuries.[Read More] Can a Motorcycle Accident Cause Rib Fractures and Pneumothorax Without Direct Impact?
Understanding Finger Injuries: When to Seek Orthopedic Care
Finger injury Hello Dr. Lee, my little finger was hit by a heavy object and it hurt for a moment but then felt fine, with no visible injury. However, three days later, I started experiencing pain when bending it. Is there a possibility of a fracture, or what could be causing this...
Dr. Li Wenhong Reply:
Hello: Please see the orthopedic outpatient clinic and obtain an X-ray if necessary. Changhua Hospital Orthopedics, Dr. Li Wen-Hong.[Read More] Understanding Finger Injuries: When to Seek Orthopedic Care
Should You Remove Plates and Screws After a Humerus Fracture?
After a mid-shaft humeral fracture, is it necessary to remove the screws and plates in the future? Hello Dr. Zhan, A month ago, I had an accident that resulted in a mid-shaft humeral fracture. I had an 11-hole plate and 7 screws implanted. Currently, my shoulder range of motion...
Dr. Zhan Xian Reply:
Hello Ray, as you mentioned, we need to consider the factors regarding whether to extract it. We can discuss this with the attending physician once the fracture has healed.[Read More] Should You Remove Plates and Screws After a Humerus Fracture?
Knee Pain After Car Accident: Seeking Effective Treatment Options
After the car accident, the pain in the back and inner side of the knee has been increasing and becoming more severe? Hello, my mother is 69 years old. At the end of August this year, she was involved in a car accident and was hospitalized. At that time, she immediately reported ...
Dr. Chen Yongxue Reply:
Hello, if there are significant changes in the patient's condition before and after the injury, it is likely that some trauma exists. X-rays can only reveal bone-related issues, and their ability to assess soft tissue is quite limited. It is recommended to return to the orig...[Read More] Knee Pain After Car Accident: Seeking Effective Treatment Options
Managing Post-Surgery Pain: Tips for Recovery After Tibia Fracture
Third week post-operation? It has been three weeks since my tibial fracture surgery, and I am currently resting at home. Recently, I have been particularly troubled by something. While I can tolerate the boredom of just resting at home, I find it increasingly difficult due to fre...
Dr. Wang Shouji Reply:
Hello, if it has been confirmed that there are no specific issues with the ankle, it is recommended to engage in non-weight-bearing activities for the ankle and to use anti-inflammatory and analgesic medications, which can often alleviate symptoms. Heat therapy can be applied, pr...[Read More] Managing Post-Surgery Pain: Tips for Recovery After Tibia Fracture
Convincing a Reluctant Parent to Seek Medical Help for Wrist Injury
My mother has a dislocated wrist but refuses to seek medical attention? Hello, doctor! My mother was injured in a car accident at the end of July. She not only refused to go to the emergency room but also does not want to see a Western medicine doctor, insisting instead on treatm...
Dr. Zhan Xian Reply:
Hello Mr. Chen, I understand your concerns for your mother after reading your description. If there is visible deformity in her wrist following the injury, it often indicates a fracture, which requires an X-ray for confirmation. Since it has already been three months, she may hav...[Read More] Convincing a Reluctant Parent to Seek Medical Help for Wrist Injury
Understanding Muscle Adhesions: Causes and Treatment Options After Injury
Muscle adhesion A family member suffered a crush injury to their hand in a car accident. They have been undergoing rehabilitation, but recently the hospital's massage therapist mentioned that there is muscle adhesion. I would like to know what might cause this condition and ...
Dr. Shen Boquan Reply:
Family members should undergo surgery for a comminuted fracture of the hand. Postoperatively, issues such as joint stiffness, articular surface damage, soft tissue injury, or complications from the surgery itself may arise. Following the physician's instructions and continui...[Read More] Understanding Muscle Adhesions: Causes and Treatment Options After Injury
Understanding Radial Bone Displacement After Surgery in Children
Displacement after surgery for a radius fracture? Hello Doctor, my daughter is about to turn nine years old. A month ago, she underwent minimally invasive surgery for a fracture of the radial bone in her elbow (the X-ray at that time showed that the radial bone was repositioned)....
Dr. You Dianqi Reply:
Hello, children's fractures can tolerate greater degrees of displacement and angulation due to their enhanced remodeling capacity. From your description in the article, it seems that your attending physician is not overly concerned. I think you should be able to relax a bit,...[Read More] Understanding Radial Bone Displacement After Surgery in Children
Managing Post-Surgical Discomfort After Tibial Plateau Fracture Repair
Postoperative pain after comminuted fracture of the tibial plateau? Hello Dr. Wang, I apologize for the interruption. I sustained a comminuted fracture of the left tibial plateau in a car accident on July 10 and underwent emergency surgery. Six weeks post-surgery, the cast was re...
Dr. Wang Jiacheng Reply:
Pain typically does not persist permanently; it usually diminishes gradually after the healing of wounds or fractures. Currently, you can apply heat or take some pain relievers to alleviate the discomfort. Additionally, undergoing rehabilitation therapy may provide some benefit.[Read More] Managing Post-Surgical Discomfort After Tibial Plateau Fracture Repair
Managing Post-Surgery Discomfort After Tibial Plateau Fracture Repair
Postoperative pain after comminuted fracture of the tibial plateau? Hello, doctor. I apologize for the interruption. I suffered a comminuted fracture of the left tibial plateau in a car accident on July 10 and underwent emergency surgery. Six weeks post-surgery, my cast was remov...
Dr. Shi Guozheng Reply:
Pain typically does not persist permanently; it usually diminishes gradually after the healing of wounds or fractures. Currently, you can apply heat or take some pain relievers to alleviate the discomfort. Additionally, undergoing rehabilitation therapy may provide some benefit.[Read More] Managing Post-Surgery Discomfort After Tibial Plateau Fracture Repair
One Month Post-Car Accident: Persistent Right Shoulder Pain and Limited Mobility
One month after the car accident, I am unable to move my right hand as I used to? On September 23, I was involved in a car accident and sustained multiple contusions on the right side of my body. At the time, my right shoulder was extremely painful, but after an X-ray examination...
Dr. Li Wenhong Reply:
Hello, Miss Lin! Recovery from multiple contusions may take longer, and you may not be able to regain your full range of motion in a short period. Experiencing pain during larger movements indicates that the strain has not fully healed or that the movement exceeds the muscle'...[Read More] One Month Post-Car Accident: Persistent Right Shoulder Pain and Limited Mobility
Understanding Rib Fractures: Recovery and Post-Surgery Concerns
Rib issues Hello, doctor. I would like to ask about my condition. Approximately a month and a half ago, I was involved in a car accident that resulted in fractures of my left ribs 4 to 8. I was taken to the hospital for surgery, where they used the latest titanium alloy rib fixat...
Dr. Chen Bochen Reply:
1. The ribs are located closer to the skin, and it is common to experience a tight sensation after surgery, which should gradually improve over time. 2. Numbness and soreness extending from the lower back to the thighs are generally unrelated to rib surgery. The most common cau...[Read More] Understanding Rib Fractures: Recovery and Post-Surgery Concerns