Fracture, Orthopedics FAQ

Managing L1 Vertebral Fractures: Treatment Options and Recovery Guidance

Fracture of the first lumbar vertebra? I was involved in a car accident on April 8 and was taken to the emergency room where X-rays and a CT scan indicated a fracture of the first lumbar vertebra. The doctor said surgery is not necessary, but I need to wear a brace. The diagnosis...

Dr. Chen Yongxue Reply:
Hello, if you have a diagnosis report or any questions related to your condition, it is advisable to discuss them with your attending physician. Additionally, for compression fractures, you can seek consultation in either orthopedics or neurosurgery. Thank you.

Displaced Fourth Metatarsal Fracture: Surgery vs. Non-Surgery Outcomes

The difference between surgical and non-surgical treatment for a displaced fourth metatarsal fracture? Due to a fall from a height, a fracture of the fourth metatarsal in the right foot occurred, with an oblique displacement. Initially, a cast was applied in the emergency departm...

Dr. Shi Guozheng Reply:
A single metatarsal fracture with minimal displacement can be treated conservatively, and it will heal in the future; however, continuous outpatient follow-up is necessary.

Understanding L5 Vertebral Arch Fractures: Recovery and Sports Impact

Fracture of the fifth lumbar vertebra? Hello, doctor. I am an athlete, and I have had a fracture of the fifth lumbar vertebra for a year and a half, which is particularly pronounced. I would like to ask: 1. How long will it take to heal after minimally invasive surgery? 2. Will I...

Dr. Chen Bochen Reply:
Vertebral arch fractures are a common issue, occurring in about 1 in 20 individuals. Most cases do not require surgery; rehabilitation and strengthening of the core muscles are usually sufficient. I, myself, have experienced a vertebral arch fracture, and after rehabilitation and...

Flying After Orbital Floor Fracture: What You Need to Know

Can a person with an orbital floor fracture fly on an airplane? Due to a skiing accident resulting in a fall that impacted the left side of the face, a Japanese doctor has initially diagnosed a possible orbital floor fracture. Currently, vision is normal, there is no double visio...

Dr. Zhan Xian Reply:
Hello Vanessa, to confirm whether there is bleeding in the brain, please consult a neurologist. Wishing you safety.

Post-Surgery Concerns: Blood from Scar After Elbow Injury

More than a month after surgery, there is bleeding from the scar area after being bumped? Hello, it has been over a month since my surgery for an olecranon fracture. At that time, they used non-dissolvable sutures. I accidentally bumped the scar area, and my elbow hurt for about ...

Dr. Shi Guozheng Reply:
If the wound is not open, you can wait a while before returning for a follow-up. However, if the wound is significantly open, you should seek medical attention immediately to prevent infection and inflammation.

Addressing Asymmetrical Scapula in a 10-Year-Old After Clavicle Injury

A 10-year-old girl has asymmetry in her scapulae? Hello, doctor. A few days ago, my daughter tripped and sustained a closed fracture of her right clavicle. She currently has a figure-eight shoulder strap for stabilization, which is removed only during bathing. I've noticed t...

Dr. Li Wenhong Reply:
Hello: Please do not worry, as the pain from a fracture may appear asymmetrical. After the fracture heals, there should be no major issues. If the figure-eight shoulder strap is uncomfortable, using a triangular bandage or sling is also acceptable. Changhua Hospital Orthopedics D...

Recovery After ACL and Tibial Plateau Fracture: When Can You Ride a Motorcycle?

Diagnosis: Tear of the anterior and posterior cruciate ligaments with associated fracture? I had a car accident on January 3rd this year, resulting in a tibial plateau fracture and tears of both the anterior and posterior cruciate ligaments. I underwent surgery where plates and s...

Dr. Chen Yongxue Reply:
Hello, riding a motorcycle is generally fine, but in case of an emergency situation, your affected limb may not be able to react in time. It is advisable not to attempt it before you are able to exercise properly. Thank you.

Understanding Fifth Metatarsal Fractures: Treatment and Recovery Insights

Fracture of the fifth metatarsal bone of the left foot? Hello Doctor: 1. On the evening of April 4th, I accidentally stepped into a gap in the hot spring pool and fractured the fifth metatarsal of my left foot. On the morning of April 5th, I went to the emergency department at ...

Dr. Chen Yongxue Reply:
Hello, 1. Surgery is not necessary. 2. Swelling will persist, as it is a fracture... Please elevate the affected limb (above the heart) to help reduce swelling. 3. Please use crutches under both armpits for mobility; do not put weight on the affected limb. 4. Initial heal...

Post-Surgery Concerns: Managing Swelling After Hip Replacement in Elderly Patients

Postoperative care for right femoral neck fracture? Hello Doctor, My mother is 90 years old. On March 8th of this year, she fell and sustained a displaced fracture of the right femoral neck. The orthopedic surgeon recommended a right hemiarthroplasty of the hip. She was hospita...

Dr. Shen Boquan Reply:
Hello, the user. Your mother has suffered a right femoral neck fracture with displacement and has undergone a right hip hemiarthroplasty. Postoperatively, if there is swelling only in the right lower limb that decreases after sleeping, it is likely related to her position (such a...

Managing Ankle Fracture Recovery: Tips After Cast Removal

After the cast was removed for a fractured lateral malleolus, I accidentally bumped the affected area again? Hello, Doctor. I suffered a non-displaced fracture of the outer ankle on February 6 while abroad. The emergency physician said it didn't need to be immobilized, but t...

Dr. Shi Guozheng Reply:
1. It is best to schedule a follow-up appointment as soon as possible. 2. If the pain does not alleviate, there is a possibility of dislocation. 3. It takes three months to heal; the recovery speed is not necessarily slower. 4. Please refrain from exercising.

Ankle Screw Removal: When and Why It’s Necessary

Issues Related to Ankle Screw Removal The right ankle has sustained a fracture, with screws placed on the medial side and a plate on the lateral side. My questions are: Will the screws and plate need to be removed later? How long after the surgery can they be removed? Is there an...

Dr. Chen Yongxue Reply:
Hello, foreign objects in the human body should generally be removed. As for the timing of the removal, it depends on the type of metal plate used; for lower limbs, it is advisable to wait approximately one and a half to two years. Thank you.

Diagnosing Hand Injuries: X-Ray Insights on Fractures and Contusions

Fracture of the left metacarpal. X-ray imaging diagnosis of the distal radius of the right hand? Hello, I had a car accident on March 20 and have been experiencing pain in both wrists. I went to the hospital for an X-ray examination, which revealed a fracture in the left metacarp...

Dr. Shi Guozheng Reply:
The image quality is poor, making it difficult to assess. It is recommended to go to the hospital for a physician to take a look.

Post-Tibia Fracture Surgery: When to Ditch the Crutches?

Post-operative care for tibial fractures? Hello, doctor. I sustained a traction fracture of the right tibia in a car accident on January 19 and underwent surgery on February 7. It has been about seven weeks since then, and I am currently walking with crutches, putting half weight...

Dr. Shi Guozheng Reply:
1. To determine if a fracture has healed on an X-ray, it is generally safer to wait about three months. 2. It is normal.

Understanding the Need for Hardware Removal After Arm Fracture Surgery

Removal of metal screws issue Hello Doctor, I had surgery on October 27th of last year following a car accident, primarily for a right distal humeral fracture. The current condition, as shown in the photos [link], has improved with ongoing rehabilitation, but I still experience s...

Dr. Chen Yongxue Reply:
Each person's recovery varies. Whether or when to remove it should be discussed with your attending physician. Generally, a hospital stay of about 3 to 4 days is required post-surgery, and it is advisable to avoid vigorous exercise for at least 3 months. Thank you.

Post-Surgery Shoulder Positioning: Key Considerations for Recovery

Will having an abnormal posture after surgery cause problems? Hello Doctor, I had a motorcycle accident on Monday night, landing on my right shoulder, and I have a fracture at the distal end of my right clavicle. Following the doctor's advice, I underwent surgery on Tuesday ...

Dr. You Dianqi Reply:
Generally, recovery takes 3 to 4 weeks. Only after confirming complete recovery can daily activities be resumed. After about 2 weeks of rest, light activities or computer work may be possible, but since each person's condition and recovery situation varies, it is advisable t...

Managing Fifth Metatarsal Fractures: Prevention and Treatment Insights

Metatarsal fracture Thank you, doctor, for answering my questions. I would like to ask if the reasons for the bone displacement in questions 1 and 2 could be due to the inability to bear weight even while wearing the protective footwear? What can be done to prevent displacement? ...

Dr. Shi Guozheng Reply:
Your X-ray shows a noticeable crack at the base of the fifth metatarsal, but there is no displacement. We will continue to monitor it. If it remains the same, it may heal, but if you twist it again, there is a possibility of displacement. It would be better to wear a brace.

Recovery Timeline and Rehabilitation for Right Foot Navicular Fracture

Closed fracture of the right navicular bone in the foot? I had a fall on the stairs on February 6, resulting in a fracture. I had my cast removed on March 8, but an X-ray still shows a small piece of bone missing. My foot is still very painful, and it starts to swell and hurt aft...

Dr. Shi Guozheng Reply:
It is possible to walk with an ankle brace, and typically, a fracture requires a recovery period of three months.

Understanding Fifth Metatarsal Fractures: To Operate or Not?

Fifth metatarsal fracture Hello Dr. Shi, last month I had a misstep and fractured my fourth and fifth metatarsals. When I went to the emergency room, the doctor said surgery was optional and that not having surgery wouldn't affect my ability to walk. However, during my outpa...

Dr. Shi Guozheng Reply:
The doctor's statement is correct; continuous monitoring is sufficient.

Managing Displaced Fifth Metatarsal Fractures: Brace Use and Recovery Tips

Displaced fifth metatarsal fracture and the use of a brace? Hello Doctor, I suffered a fifth metatarsal fracture from a fall on March 2nd. I started wearing the recommended protective shoe on March 4th after switching from a cast. However, during my follow-up appointment in the s...

Dr. Shi Guozheng Reply:
Conservative treatment can continue, but if healing does not occur, surgery will be necessary.

Should You Remove Intramedullary Nails After Fracture Healing?

Is it necessary to remove intramedullary nails? Hello, I suffered a closed femoral fracture on the left side due to a car accident a year ago (November 2022). At that time, I was treated with intramedullary nailing. My recovery has been relatively good, and I can walk freely, alt...

Dr. You Dianqi Reply:
Each individual's condition and recovery process varies, so it is recommended to consult with an orthopedic specialist for personalized advice. Thank you.

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