Growth, Orthopedics FAQ - Page 24

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Understanding Growth Plate Fractures in Children: Treatment and Recovery

Growth plate fracture A 10-year-old child was diagnosed with a growth plate fracture after being stepped on the ankle by a classmate. The child was treated with a cast, extending up to the thigh, and it has been in place for one month and three days. The physician recommended kee...


Dr. Zhou Lizhi Reply:
Dear netizens: A 10-year-old child has sustained a growth plate fracture in the ankle. We classify fractures into six types based on severity and complexity, as well as the likelihood of complications. Generally, ankle fractures require immobilization below the knee, but dependin...

[Read More] Understanding Growth Plate Fractures in Children: Treatment and Recovery


Understanding Growth Patterns: Height Changes and Finger Length Correlation

Exactly 10 centimeters? In fourth grade, I was 147 cm tall, in fifth grade I was 157 cm, and in sixth grade I was 163 cm. I grew exactly 10 cm; can I only expect to grow 4-5 cm more? Regarding my previous question, does having shorter fingers mean that a person is less likely to ...


Dr. Shi Qiming Reply:
Please cooperate with the X-ray bone age assessment and the evaluation of secondary sexual characteristics (such as pubic hair and testicular size). Kindly visit the pediatric outpatient clinic for further evaluation.

[Read More] Understanding Growth Patterns: Height Changes and Finger Length Correlation


Is My Growth Plate Closed? Understanding Height Potential at 13

Has the growth plate closed? I'm 13 years old and I'm not sure if my growth plates have closed. My family can't afford to have them checked. I am 163 cm tall and my foot size is 25 cm. I started developing in the 5th grade, and I have a bit of a habit of masturbati...


Dr. Shi Qiming Reply:
1. For typical boys aged 13 to 15, this is a period of rapid growth. 2. It is important to record height each year; if a boy grows more than 10 centimeters in one year, his future growth will likely be limited to 4 to 5 centimeters. 3. The frequency of masturbation has no rel...

[Read More] Is My Growth Plate Closed? Understanding Height Potential at 13


Understanding Painful Bumps After Finger Injury: Possible Bone Growth?

Pain from a protrusion after a bone impact? Hello, Dr. Wang. About a month ago, I accidentally hit my right index finger against a hard object. At that moment, my finger was extremely painful, swollen, but there was no bruising. I initially thought it would reduce in swelling aft...


Dr. Wang Shouji Reply:
QQ: A bone spur cannot be caused by an injury that occurred just a month ago. It is important to check for any small fractures. Most cases are due to impact, resulting in scar tissue formation in the soft tissues. Wishing you a speedy recovery.

[Read More] Understanding Painful Bumps After Finger Injury: Possible Bone Growth?


Understanding Growth Plate Closure in Girls: When Does It Happen?

I'm sorry, but I need specific content to translate. Please Generally, for females, the growth plates typically close about two years after the onset of menstruation. However, this can vary, and the average age for closure of growth plates in normal females is around 16 to 1...


Dr. Zhou Lizhi Reply:
Hello, generally girls stop growing in height after the growth plates close between the ages of 12 to 14.

[Read More] Understanding Growth Plate Closure in Girls: When Does It Happen?


Understanding Bone Healing After Fractures: Expert Insights and Solutions

Fractures & Bone Healing Hello, Doctor. On July 24, 2009, I was involved in a car accident that resulted in a closed fracture of my left femur. After surgery, I had metal rods and screws placed. During follow-up X-rays in September and October, the doctor expressed concerns a...


Dr. Li Wenlin Reply:
Hello: The normal healing time for a fracture is approximately three to six months; however, this can vary for each individual due to differences in fracture type, comminution, bone quality, and treatment methods. Each case requires different considerations. Generally, if there i...

[Read More] Understanding Bone Healing After Fractures: Expert Insights and Solutions


Understanding Pediatric Trigger Finger Surgery: Options and Concerns

Surgical procedure for pediatric trigger finger? Hello, my child is currently 2 years and 3 months old and has trigger thumb in both hands! We have been undergoing rehabilitation for almost two months now, but he is unwilling to cooperate with wearing the splint for stabilization...


Dr. Shi Qiming Reply:
1. Percutaneous tenotomy of the pulley is performed using a needle incision, while traditional surgery involves a scalpel incision. 2. For pediatric trigger finger, due to the small size of the tendon sheath, percutaneous surgery is not recommended. Our hospital has not perform...

[Read More] Understanding Pediatric Trigger Finger Surgery: Options and Concerns


Can You Still Grow Taller After Puberty? Tips for Maximizing Height

Increase in height? Is it possible for someone my age to grow taller? If so, how can I make up for the missed growth period?


Dr. Zhang Shengben Reply:
Generally, growth in height stops after the closure of the growth plates. If one wishes to increase their height, they may seek evaluation at a medical center for limb lengthening surgery.

[Read More] Can You Still Grow Taller After Puberty? Tips for Maximizing Height


Can O-Shaped Legs in Teens Be Corrected? Expert Insights

Bow legs Hello: My son has a problem with bow legs. He is going to be a freshman in high school this year. Is it possible to correct this?


Dr. Shi Qiming Reply:
The occurrence of bow legs (genu varum) depends on age and the degree of the angle. If the individual is already in high school, it is unlikely that growth will correct the condition. It is recommended to measure the angle in an outpatient setting to determine if correction is ne...

[Read More] Can O-Shaped Legs in Teens Be Corrected? Expert Insights


Managing Limb Length Discrepancy and Multiple Osteochondromas: Treatment Options

excuse me? I am 18 years old and have a leg length discrepancy of 4.6 centimeters, along with multiple osteochondromas. Since childhood, I have undergone surgeries for multiple osteochondromas on my hands, feet, knees, and shoulders. I have discovered that the leg length discrepa...


Dr. Shi Qiming Reply:
In cases of limb length discrepancy, accurate measurement of lower limb length is necessary for diagnosis. If the difference is 4.5 centimeters or more, it may affect walking and could lead to mild disability. It is recommended to visit an orthopedic clinic for a thorough examina...

[Read More] Managing Limb Length Discrepancy and Multiple Osteochondromas: Treatment Options


Understanding Clavicle Fractures: Recovery Challenges and Surgical Options

Fracture I had a car accident at the end of March, resulting in a fracture of my left clavicle near the shoulder. I did not undergo surgery and used a figure-eight shoulder strap for one month. After that, I went to a military hospital for an X-ray, which showed some bone growth....


Dr. Chen Xingyuan Reply:
Dear Reader, The treatment for clavicle fractures can be divided into conservative treatment and surgical treatment. Surgical intervention is necessary in cases of open fractures, associated neurovascular injuries, mid-shaft clavicle fractures with significant displacement, frac...

[Read More] Understanding Clavicle Fractures: Recovery Challenges and Surgical Options


Is Your Rib Protruding More on One Side? Causes and Concerns

Rib Recently (uncertain if this condition has existed for a while or if it has just appeared), I have noticed that during deep breaths, the lower left rib (which should be near the stomach area) protrudes slightly more than the right side. There is no pain. Is this normal? Could ...


Dr. Hong Ximing Reply:
Protruding ribs without pain are likely related to the growth of the thoracic cage or costal cartilage, and it is rarely caused by organ enlargement. For an accurate diagnosis, it is advisable to consult a physician for an examination.

[Read More] Is Your Rib Protruding More on One Side? Causes and Concerns


Recovery Timeline After Removing Pins: When to Consider Plates?

Removal of metal screws? How long will it take to know if my hand needs a plate after the removal of the screws? The doctor mentioned that if my radius does not heal properly, I will need to have a plate installed.


Dr. Li Wenlin Reply:
Hello: The definition of nonunion is when there are no signs of bone growth at the fracture site after a period of six to nine months. Since you have just had your external fixation removed, it means that the fracture treatment time has not yet exceeded six months, so it is too e...

[Read More] Recovery Timeline After Removing Pins: When to Consider Plates?


Understanding Avascular Necrosis: Recovery Tips After Hip Surgery

Avascular necrosis of the femoral head? Hello Dr. Zhou, In November 2007, I suffered a femoral head fracture near the hip joint due to a car accident. After being treated with steel nails, there were no signs of necrosis on X-rays for the first six months. However, due to (exces...


Dr. Zhou Lizhi Reply:
According to online users, there is currently a fracture plate in place, and the femoral head is necrotic with a history of bone grafting. The key focus is on whether the bone graft is growing (it is advisable to avoid weight-bearing activities, and abstaining from alcohol and sm...

[Read More] Understanding Avascular Necrosis: Recovery Tips After Hip Surgery


Understanding Bone Spurs in the Cervical Spine: Causes and Treatment Options

Bone spur Hello, Doctor Shi: May I ask what causes bone spurs to develop within the cervical vertebrae and the surrounding soft tissue in my husband? Can medication treat this condition, or is surgery necessary? Thank you for your assistance, Doctor Shi.


Dr. Shi Guozheng Reply:
Bone spurs are often a manifestation of osteoarthritis. The term "degeneration" refers to the wear and tear of joints or bones over time. The worn cartilage cannot regenerate into new, normal cartilage; instead, the bone develops additional bony growths as compensation....

[Read More] Understanding Bone Spurs in the Cervical Spine: Causes and Treatment Options


Does Ankle Injury Affect Your Height? Insights from an Orthopedic Expert

Height issues Hello, Doctor Shi: I remember when I was a child, I twisted my ankle while running, which caused a slight protrusion in the area of the left talus. Will this affect my height?


Dr. Shi Guozheng Reply:
If the growth plates in the ankle are not injured, they will not affect height. The majority of height growth occurs at the growth plates near the knee joint, while the ends of the thigh and calf also contribute to height. The spine is similarly involved. Therefore, there is no n...

[Read More] Does Ankle Injury Affect Your Height? Insights from an Orthopedic Expert


Where Are the Growth Plates Located in the Human Body?

Where are the growth plates located? Hello, Doctor: Could you please tell me where the growth plates in humans are located?


Dr. Shi Guozheng Reply:
At the ends of long bones (such as the femur or tibia), specifically in relation to the knee joint, the distal end of the femur (thigh bone) is located just above the knee joint, while the proximal end of the tibia (shin bone) is located just below the knee joint. Additionally, t...

[Read More] Where Are the Growth Plates Located in the Human Body?


Understanding Growth Plate Closure: Spine vs. Feet in Adolescents

Could you please provide more context or specify what information you are seeking about the spinal growth plates? The closure of the vertebral growth plates typically occurs around the ages of 16 to 18 in females and 18 to 21 in males. In general, the growth plates in the spine t...


Dr. Shi Guozheng Reply:
The exact timing of the closure of the vertebral growth plates is not well-documented; however, it can be estimated based on the closure of the iliac crest growth plates in the pelvis, which typically occurs after the age of sixteen. Nonetheless, literature has reported that afte...

[Read More] Understanding Growth Plate Closure: Spine vs. Feet in Adolescents


How to Maximize Height Growth During Teenage Years: Tips and Insights

Increase in height Hello, Doctor: I am 16 years old, a first-year high school student, with a height of about 168-170 cm and weighing less than 50 kg. I appear quite thin, especially compared to my classmates, who seem taller and some are quite muscular. I would like to ask the d...


Dr. Shi Qiming Reply:
Dear Xiao Jie, please do not worry too much about your height. Focus on enriching your inner self; attitude is more important than stature. I suggest you exercise regularly, drink more milk, and maintain a balanced diet, as I believe this will be beneficial for your height.

[Read More] How to Maximize Height Growth During Teenage Years: Tips and Insights


Will My Height Stop Growing? Concerns for a 9th Grader

Height Hello, Doctor! I'm currently in the ninth grade and about to enter high school, but my height is only around 160 cm. My dad is 162 cm and my mom is 158 cm, so neither of my parents is very tall. Does this mean I won't be tall in the future? I grew over 10 cm duri...


Dr. Shi Qiming Reply:
Please do not believe in so-called folk remedies; regular exercise and a balanced diet can help with height. Height does not represent much; having substance is what truly matters.

[Read More] Will My Height Stop Growing? Concerns for a 9th Grader


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