Effective Rehabilitation Strategies for Elbow and Forearm Recovery
Elbow rehabilitation Doctor, I am the one who asked about the rehabilitation for the radial head fracture that was treated with plate fixation last time. How should I treat the hand stiffness? The doctor mentioned that the last two fingers are numb due to the position of the spli...
Dr. Hong Ximing Reply:
Elbow contracture still requires diligent rehabilitation therapy. For finger numbness, it is important to determine whether it is caused by ulnar nerve entrapment. An ulnar nerve conduction study can be performed first, followed by a discussion with the attending physician.[Read More] Effective Rehabilitation Strategies for Elbow and Forearm Recovery
Rehabilitation Insights for Recovery from Closed Radius Fractures
Rehabilitation Perspective After more than 7 months post-closed fracture of the radial head, the current range of motion is 20-100 degrees with relaxation at 10-110 degrees. Is it possible to return to normal range of motion with continued rehabilitation? Additionally, the last t...
Dr. Hong Ximing Reply:
Radial head fracture, 7 months post-injury, uncertain if surgical reduction was performed. Currently, the range of motion is from 20 to 100 degrees, indicating possible contracture. Joint injuries can sometimes affect the ability to return to normal range of motion. The numbness ...[Read More] Rehabilitation Insights for Recovery from Closed Radius Fractures
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.[Read More] Understanding Finger Numbness After Radial Head Fracture Surgery
Neck Pain Leading to Facial Asymmetry: What You Need to Know
Chronic cervical pain is causing my face to become increasingly asymmetrical? Hello, doctor. I am a freshman this year. Since last year, I have been experiencing discomfort on the right side of my cervical spine. I often feel pain, which worsens when pressure is applied. There is...
Dr. Wang Shouji Reply:
Hello: The facial asymmetry is not caused by cervical spine issues; it is important to check for facial nerve paralysis. Please see a neurologist for an examination as soon as possible. Thank you![Read More] Neck Pain Leading to Facial Asymmetry: What You Need to Know
Understanding Neck and Back Sounds: Are They Signs of Aging?
Hello, doctor? Hello, Doctor. I'm not sure why, but recently the bones in my cervical spine (specifically the first joint that can be seen when I slightly lower my head) have been making sounds. I often find myself unconsciously slouching, and whenever I become aware of it, ...
Dr. Shi Guozheng Reply:
This may be the sound of bones and ligaments or nearby synovial tissue rubbing against each other, which is not related to pain. If you are very concerned, you can get an X-ray to check for any other issues.[Read More] Understanding Neck and Back Sounds: Are They Signs of Aging?
Understanding Radial Head Fractures and Post-Surgery Pain Management
Radial head Hello, I am the same Xiaozhan who consulted last time. I have undergone autologous bone grafting for a comminuted fracture of the radial head, but why can I still see the fracture line? For my second question, the doctor said that the femoral neck fracture line has he...
Dr. Chen Yongxue Reply:
Hello, 1. Bone grafting requires time to heal after surgery; generally, X-rays should show no gaps in the fusion, which typically takes about six months. 2. There are many causes of pain, and it is not necessarily always due to a fracture. Please visit the clinic so that the phys...[Read More] Understanding Radial Head Fractures and Post-Surgery Pain Management
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...[Read More] Understanding Femoral Neck Injuries: Healing, Pain, and Bone Grafting Insights
Understanding Metatarsal Fractures: Symptoms, Diagnosis, and Treatment Options
Metatarsal fracture, turf toe, and transverse arch collapse? Dear Doctor, I suffered a fracture of the fifth metatarsal on September 1 due to a fall. The clinic did not apply a cast but used a splint for stabilization. On September 16, while stepping down on my right foot, my to...
Dr. Shi Guozheng Reply:
Conservative treatment should be sufficient, as it is a sprain that does not require surgery and will not result in any long-term complications.[Read More] Understanding Metatarsal Fractures: Symptoms, Diagnosis, and Treatment Options
Understanding Autologous Bone Grafting for Delayed Healing in Radial Head Fractures
Bone grafting Dr. Yeh, I would like to ask about a closed fracture of the radial head that occurred 5 months ago. I underwent plate fixation on the day of the injury. The doctor mentioned delayed healing and suggested autologous bone grafting. How effective is the healing capacit...
Dr. Ye Qingnian Reply:
Poor bone healing can be effectively treated with autologous bone grafting, which yields the best results. While there are synthetic bone substitutes available, their efficacy is not as good as that of autologous bone. In cases of nonunion of the radius, the autologous bone used ...[Read More] Understanding Autologous Bone Grafting for Delayed Healing in Radial Head Fractures
Alternative Treatments for Delayed Healing in Radius Fractures
Artificial bone Dr. Hong, I would like to ask about a closed comminuted fracture of the radial head that occurred 5 months ago. The fracture was stabilized with a plate on the day of the injury. The physician has assessed it as delayed healing, and I am personally okay with that....
Dr. Hong Ximing Reply:
A radial head fracture has been present for 5 months. If it has not healed after surgery, bone grafting may be considered to promote healing. Therefore, it depends on the specific needs of the fracture. Since X-rays can provide a clear assessment, it is advisable to discuss the s...[Read More] Alternative Treatments for Delayed Healing in Radius Fractures
Understanding Shoulder Numbness: Causes and Solutions for Relief
Numbness in the posterior shoulder? During my middle school years, I often stayed up late playing on the computer, and I frequently experienced a sharp pain in my right shoulder. I didn't pay much attention to it at the time, but gradually, the skin on my right shoulder near...
Dr. Wang Shouji Reply:
Hello: It is recommended to promptly visit a neurosurgeon for an examination of the cervical spine and brain tissue for any issues. Thank you![Read More] Understanding Shoulder Numbness: Causes and Solutions for Relief
Exploring Non-Surgical Options for ACL Tear Recovery
Options for ACL tear management include: 1. ** Hello Doctor, I am the patient who previously asked you about the ACL. My condition is a grade 1 tear of the anterior cruciate ligament (ACL) with instability of about 0.5 cm. Thank you for informing me that the ACL may not heal com...
Dr. Shi Guozheng Reply:
PRP has some effects on tissue repair, but it cannot restore a previously loosened anterior cruciate ligament (ACL) to normal healing, resulting in some residual instability. ACL reconstruction is not solely aimed at addressing instability; it also aims to improve function. If th...[Read More] Exploring Non-Surgical Options for ACL Tear Recovery
Understanding Joint Stiffness and Treatment Options for Delayed Healing
Joint stiffness Dr. Chen, I have no bad habits and my physical condition is okay. I received treatment on the day of my injury. May I ask about my closed distal radius fracture, which has been internally fixed and has shown delayed healing for over four months? Besides checking t...
Dr. Chen Yongxue Reply:
Hello, regarding your inquiry, it likely refers to a fracture of the radial head or neck of the radius. If that is the case, it would be better to perform a reduction, as fractures in this area tend to heal more slowly and often lead to stiffness in the elbow joint. I recommend v...[Read More] Understanding Joint Stiffness and Treatment Options for Delayed Healing
How to Identify Early Symptoms of Hip Joint Necrosis
Stage I avascular necrosis of the hip joint? Hello, Doctor: How can I self-assess the symptoms of early-stage avascular necrosis of the hip joint? Recently, I've been experiencing soreness in my thigh and discomfort in the area where my thigh connects to my buttocks (it hurt...
Dr. Shi Guozheng Reply:
Early stages typically do not cause pain; changes are usually only visible on X-rays or MRI scans. You can go to the hospital for an initial examination to determine if further tests are necessary. A physician can assess whether there is avascular necrosis of the femoral head in ...[Read More] How to Identify Early Symptoms of Hip Joint Necrosis
Choosing the Right Surgery for Radial Head Fractures: A Patient's Dilemma
Treatment methods Dr. Shi, the patient has a closed fracture of the radial head. It has been four months since the plate fixation surgery. After multiple communications with the physician post-surgery, today the doctor mentioned the need for radial head excision. The patient is 3...
Dr. Shi Guozheng Reply:
After the excision of the radial head, there may be a reduction in joint pain; however, after several years, symptoms of pain in the wrist or elbow joints may emerge, which is considered degeneration. This occurs because the proximal radius does not articulate with the humeral jo...[Read More] Choosing the Right Surgery for Radial Head Fractures: A Patient's Dilemma
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...[Read More] Understanding Radial Head Resection: Risks, Recovery, and Alternatives
Comparing Artificial Radial Head Replacement and Resection: A Comprehensive Guide
Artificial radius 1. Regarding the artificial radial head replacement surgery: - Comparison of normal function, angles, strength, and risk of injury. Which type of artificial radial head is more appropriate? - Cost of the procedure, duration of use, and postoperative reco...
Dr. Shi Guozheng Reply:
Radial head fractures typically aim to preserve the artificial radial head whenever possible. These artificial heads are generally made of silicone and have a certain lifespan. Recovery after surgery usually takes about six to twelve weeks. The risks associated with the surgery a...[Read More] Comparing Artificial Radial Head Replacement and Resection: A Comprehensive Guide
Can My Daughter with DDH Take Ballet Classes? Expert Advice Inside
Can individuals with developmental dysplasia of the hip (DDH) participate in ballet? Hello, Dr. Shi. My daughter is now in first grade (7 years old). She was diagnosed with developmental hip dislocation (left leg) at the age of 1, and underwent corrective surgery, which had a goo...
Dr. Shi Guozheng Reply:
If the hip joint functions normally and the femoral head is properly positioned within the acetabulum, and the shape of the femoral head is normal, then engaging in physical activity is permissible.[Read More] Can My Daughter with DDH Take Ballet Classes? Expert Advice Inside
Understanding Inner Knee Pain: Causes and Treatment Options
Pain at the inner side of both knees, associated with the protrusion of the femoral head connected to the medial patellar retinaculum (medial quadriceps muscle retinaculum)? Dear Doctor, I experience pain in the inner thighs and at the femoral head protrusion after walking for mo...
Dr. Shi Guozheng Reply:
Tendinitis is related to overuse, such as running, frequently going up and down stairs, or walking on inclined surfaces, which engages the muscles and tendons in that area. Currently, treatment options include applying heat, resting, or using medications. If these methods are ine...[Read More] Understanding Inner Knee Pain: Causes and Treatment Options
Understanding Closed and Comminuted Fractures: Causes and Recovery Insights
Closed and comminuted? I sustained a closed fracture of the right radial head due to a fall. It has been over three months since the fall, and I still experience pain when pressing up and down with my right hand. It also becomes stiff after being idle for a long time. Is this a b...
Dr. Shi Guozheng Reply:
Pain during compression after a fracture may indicate that it has not yet healed. Prolonged immobility can lead to stiffness due to reduced joint mobility following the injury, and it is essential to gradually practice movement to improve this condition. A closed fracture refers ...[Read More] Understanding Closed and Comminuted Fractures: Causes and Recovery Insights