Growth, Orthopedics FAQ

Understanding Recovery from Distal Clavicle Fractures: Tips for Rehabilitation

Distal clavicle closed fracture - surgical intervention - no longer requires immobilization - but unable to lift arm? Hello, Doctor! I have a distal clavicle closed fracture and underwent surgery in early November. On December 17, the doctor said I could stop using the sling. I h...

Dr. Shi Guozheng Reply:
Once the fracture has healed, joint mobility exercises can be initiated gradually during rehabilitation. Typically, recovery can occur as long as the movements do not cause pain in the joint. Both forward elevation and backward extension movements can be performed.

Can Wrist Fractures Affect Growth Plate and Height in Teens?

Can a wrist fracture still allow for growth in height? I previously fractured my wrist, specifically a hairline fracture. I had a cast on for a month, and when it was removed, the doctor said it hadn't healed improperly. However, my hand still hurts, and I'm unsure if I...

Dr. Wang Shouji Reply:
Hello: A 14-year-old with a wrist fracture, most of the growth plate has gradually fused, which should have little impact on bone growth. Thank you!

Understanding Finger Numbness After Radial Head Fracture Surgery

Numbness in the fingers? Hello. I am the one who previously inquired about the comminuted fracture of the radial head and underwent general anesthesia for relaxation. Currently, my ring finger and little finger still experience numbness; why is that? 2. Does extracorporeal shock ...

Dr. Chen Yongxue Reply:
The numbness in your fourth and fifth fingers is likely related to the distribution of the ulnar nerve and should not be associated with a radial head fracture. Please undergo an electromyography (EMG) test. Thank you.

Concerns About Displaced Exposed Pins in Orthopedic Surgery

Issues Related to the Movement of Exposed Steel Pins Hello Doctor, five days ago I had surgery at the hospital, and two exposed pins were placed at the tip of my right little finger. However, one of the pins slightly retracted into the finger last night while I was changing the d...

Dr. Hong Ximing Reply:
Hello: It is normal for the exposed steel pin in the finger to move, as long as it is not completely removed, it will not affect bone growth. However, it is still important to pay attention to stabilization and cleanliness to prevent pin site infection. Hong Hsi-Ming

Understanding Bone Growth Probability in Orthopedic Grafting: Key Insights

Growth probability It has been two months since the bone graft, and the doctor mentioned that the nutrition is insufficient. How can the doctor determine growth from the X-ray? What is the likelihood of growth with autologous bone grafting?

Dr. Chen Yongxue Reply:
Hello, the bone grafting you mentioned refers to the procedure performed for nonunion after a fracture, correct? If there is growth, calcification can be seen on X-rays. There are many types of bone grafts, with autologous bone grafting being the most conducive to growth. However...

Understanding Bone Graft Healing: Why Do Bone Lines Remain Visible?

Foot problems Why can the bone line still be seen after autologous bone grafting? How is the growth capability of the autologous bone graft? After 6 months post-injury, the bone line has healed, but why is there still pain, especially when squatting and applying pressure?

Dr. Chen Yongxue Reply:
Hello, your letter did not specify which bone was fractured. The healing capacity of certain bones may be slower due to the distribution of blood vessels. Additionally, the assessment of bone healing is not solely determined by the disappearance of the fracture line. The success ...

Understanding Post-Treatment Options for Clavicle Fractures

Subsequent treatment methods? After a car accident on August 22, I fractured my left clavicle and opted for conservative treatment. However, the X-ray results in early October showed no bone growth. The doctor recommended taking a bone supplement called "Bu Gu Ting Shu."...

Dr. Shi Guozheng Reply:
Whether or not to take calcium depends on your age. A clavicle fracture will gradually heal, typically taking about three months to mend, but it may take up to six months for the bone to become solid and strong.

Effectiveness of Vascular Flush Surgery for Delayed Bone Healing

Congestion surgery Dr. Chen, what is the effectiveness of vascular perfusion surgery for delayed fracture healing, and how is it performed? Thank you.

Dr. Chen Yongxue Reply:
Hello, delayed healing of fractures may require additional treatment depending on the location and growth conditions. The most common surgical procedures include enhanced fixation and bone marrow transplantation. In cases of severe injury leading to bone defects, vascularized bon...

Understanding Femoral Neck Injuries: Healing, Pain, and Bone Grafting Insights

Femoral neck injury? Why can bone sutures still be seen after autologous bone grafting? How is the growth potential of autologous bone grafts? After a fracture of the radial head with plate fixation, why does the surgical site feel swollen when I touch it? It has been 6 months si...

Dr. Luo Zhongwei Reply:
Dear Mr. Jan: Your letter seems to indicate that you have a comminuted fracture of the radial head and are undergoing open reduction and bone grafting. However, the X-ray shows a bone gap. Is that correct? First, please consult your attending physician; he should have provided yo...

Are Growth Hormones Effective After Growth Plate Closure?

Are growth hormones effective? If I am in my senior year of high school and my growth plates have fused, will growth hormone injections still be effective? If so, how many more centimeters can I grow?

Dr. Li Wenhong Reply:
Hello! Once the growth plates have fused, growth hormone injections will not lead to further height increase. Please do not misuse growth hormones. If you have any concerns, please visit the pediatric metabolism or endocrinology clinic for evaluation. Changhua Hospital, Orthopedi...

Can I Return to Jumping and Running After a Tibia Fracture?

Fracture from running and jumping? Hello, doctor. Two years ago, I had a car accident where both my tibia and fibula were fractured. The position and length of the steel rod extend from my knee to near my ankle. The fibula has healed, but the tibia is healing slowly, possibly due...

Dr. Wang Shouji Reply:
Hello: The tibia bears more than five-sixths of the weight of the lower leg. Based on your symptoms, there should be no issues with intense activity. It is advisable to focus on strengthening exercises. If the fracture has healed, the presence of the steel pin should not have any...

Does Finger Bending Affect Hand Growth Plates in Adults?

Hand elongation Hello Doctor: I have had an X-ray of the growth plates in my hands, and the doctor said they have fused. However, I have a habit of cracking my fingers. Will this affect the growth plates in my hands? Do I need to get an X-ray of the growth plates in my feet? Than...

Dr. Li Wenhong Reply:
Hello! The habit of cracking your fingers does not affect the growth plates in the hands, and there is no need to X-ray the growth plates in the feet. Dr. Li Wen-Hong, Orthopedics, Changhua Hospital.

Recovery Time for Bone Grafts: How Long Will It Take?

Recovery time Hello doctor, I have a section of my thigh that is connected to a donated calf bone. Will it heal within a year? I really want to return to school! Can eating high-protein foods help with healing?

Dr. Shi Guozheng Reply:
It is possible for the injury to heal, but it is still necessary to return to the physician's office for follow-up X-rays to check for complete healing. Consuming high-protein foods can aid in bone growth, but other nutrients should not be overlooked, such as calcium and vit...

Effective Strategies for Height Growth in Adolescents: What Works?

Height growth issues Currently, I have just entered the third year of junior high school, with a height of only 151.3 cm and a weight of 47 kg. I started my menstrual period in the fourth grade, and I have had my growth plates examined, which have not yet fused. However, I have n...

Dr. Wang Shouji Reply:
Hello: It is important to first assess the condition of the growth plates, reduce the intake of fried foods, maintain a balanced diet, engage in regular exercise, and ensure adequate calcium intake. The effectiveness of growth-promoting remedies varies from person to person; if t...

Effective Ways to Lengthen Legs and Improve Height

Lengthening the legs? Doctor, how can I make my legs longer? I’ve read online that reducing salt intake, stretching in the morning, and using stairs can be effective. Is this true? Will stretching the calf muscles make them longer? What else can I do to increase my height? Thank ...

Dr. Shi Guozheng Reply:
Exercise stimulates bone growth, and adequate nutrition also plays a significant role. Stretching may not necessarily be effective. Height is related to genetics, and generally, the height of parents influences the height of their children.

Enhancing Healing in Orthopedic Fractures: The Role of Bone Grafts

Delayed healing Dr. Hong, there may have been a misunderstanding. What I meant was how to promote healing and growth using autologous bone for a comminuted fracture. Is it necessary to perform a vascularized bone flap? What is the effect on perfusion? Thank you, Dr. Hong.

Dr. Hong Ximing Reply:
Autologous bone grafting or vascularized bone flaps are considered based on the extent and location of the bone defect, primarily to promote fracture healing. Of course, vascularized bone flaps have a better perfusion effect due to the presence of blood vessels.

Understanding Free Vascularized Bone Grafts in Orthopedic Surgery

Osteocutaneous free flap Dr. Wang, regarding the use of autologous bone grafts for bone fusion, how long does it typically take for comminuted fractures to heal? Many cases of comminuted fractures experience delayed healing; how do you assess the patients? Why not "rob Peter...

Dr. Wang Shouji Reply:
Hello: When performing a skin flap bone graft, microsurgery is required to connect the blood vessels. If successful, the healing rate is relatively high. There are many factors that influence fracture healing, so it is difficult to determine how long it will take to heal. General...

Can Pilates and Yoga Help Increase Height After Growth Plate Closure?

Height increase issues? Hello, doctor. I would like to ask some questions about height increase. I am currently 14, almost 15 years old, and I am in the third year of junior high school with a height of 141 cm. During my junior high years, I haven't grown taller. I have prev...

Dr. Li Wenhong Reply:
Hello, the closure of the growth plate indicates that the bone in that area will no longer grow; however, other bones or soft tissues may still grow a little, but not significantly. Exercise or yoga is beneficial for overall health, but there is no exercise or yoga that can reope...

Understanding Tendon Lengthening Surgery for Children with Cerebral Palsy

Tendon lengthening surgery for children with cerebral palsy? Hello Dr. Shi: I am a 10-year-old girl with cerebral palsy and spasticity. I am currently facing an evaluation for a tendon lengthening surgery due to the curvature of my knees, and I have a few questions I would like t...

Dr. Shi Guozheng Reply:
There are very few long-term effects that impact bone growth. A small number of individuals may experience some reduction in muscle strength. The tension you mentioned is unclear. It is difficult to stretch a tendon that has already contracted relying solely on rehabilitation. Th...

Understanding Radial Head Resection: Risks, Recovery, and Alternatives

Excision technique Dr. Shi, 1. It has been 4 months post-surgery. Two physicians have recommended: 1. Resection of the radial head. 2. Insertion of a prosthetic radial head. Follow-up X-rays show no bone growth, so careful consideration is needed. 2. What is the norma...

Dr. Shi Guozheng Reply:
Experienced specialists can perform surgeries regardless of the type of medical school they graduated from. The usage duration of artificial joint implants is generally similar, ranging from five to ten years. Continuous monitoring of the nerve pathways during surgery is essentia...

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