Understanding Bone Screw Protrusion: X-Ray Insights and Recovery
The bone screw has penetrated through the bone? What does it mean when an X-ray shows that the bone has protruded through the skin? I am 16 years old and had an ankle fracture with a steel plate and screws; it healed in three months. I am wondering why my femoral neck fracture ha...
Dr. Shi Guozheng Reply:
The fixation of a femoral neck fracture involves the insertion of bone screws from the lateral aspect of the greater trochanter, angled upward and inward into the bone. Before healing occurs, there is a possibility that the screws may penetrate the femoral head and impinge into t...[Read More] Understanding Bone Screw Protrusion: X-Ray Insights and Recovery
Post-Surgery Challenges: Understanding Hip Fracture Recovery Pain
Postoperative issues Femoral neck fracture with three screws fixation. The surgeon mentioned that there is no displacement, and callus formation is present but not yet healed. Currently, there is external rotation of the foot, and pain in the groin area persists. Lifting the leg ...
Dr. Shi Guozheng Reply:
This type of pain is normal and usually subsides only after complete healing, which can take about six months. Femoral neck fractures in young individuals should not be overlooked, as there are potential issues with nonunion and avascular necrosis of the femoral head in the futur...[Read More] Post-Surgery Challenges: Understanding Hip Fracture Recovery Pain
Pain from Exposed Screws After Hip Fracture Surgery: What to Do?
Sleeping on the area where a steel implant is located can cause pain? In early July, I fell and sustained a fracture of the left femoral neck. The doctor performed surgery and implanted four screws for fixation. After the surgery, the femoral head shifted from a slight displaceme...
Dr. Shi Guozheng Reply:
Exposed metal pins can irritate the skin and subcutaneous tissue, leading to pain. You may consult the surgeon to see if it is possible to remove the protruding pin. Additionally, if the bone is misaligned and does not heal properly, reoperation should also be considered.[Read More] Pain from Exposed Screws After Hip Fracture Surgery: What to Do?
Healing Time for Radial Head Fractures and Femoral Neck Fixation: What to Expect
Radial head bone callus How long does it take for a closed fracture of the right radial head to heal after plate fixation? It's been three months since the right femoral neck fracture was fixed with three screws, and it still hasn't healed. What should I do?
Dr. Shi Guozheng Reply:
A distal radius fracture typically heals in about three months; however, the removal of bone screws must wait until one year later. The healing time for a femoral neck fracture is similar, but it may lead to avascular necrosis of the femoral head or nonunion due to displacement. ...[Read More] Healing Time for Radial Head Fractures and Femoral Neck Fixation: What to Expect
Post-Surgery Concerns: Understanding Pain After Accessory Navicular Surgery
Postoperative issues related to accessory navicular bone hyperplasia? Hello! I recently underwent surgery due to issues with my accessory navicular bone, and it has been just over two weeks since the procedure. Today, while moving my ankle in bed, I exerted a bit of force (withou...
Dr. Lin Jingwei Reply:
Hello: It is difficult to accurately assess your issue based on the literal description. I recommend scheduling an earlier follow-up appointment at the outpatient clinic.[Read More] Post-Surgery Concerns: Understanding Pain After Accessory Navicular Surgery
Unexplained Neck Sounds After Sports: Causes and Solutions
Experiencing unusual sounds when turning your head after exercise? On the evening before the Dragon Boat Festival holiday (June 18), after finishing at the batting cage, I noticed that when I turned my head to the left beyond a certain degree, it would make a "pop" soun...
Dr. Huang Minxu Reply:
Hello: In general outpatient clinics, the primary concern regarding joint sounds during movement is whether they are accompanied by pain. Common causes may include the presence of gas bubbles within the joint that change size during movement, resulting in sound. Based on your des...[Read More] Unexplained Neck Sounds After Sports: Causes and Solutions
Managing Recovery from Radial Head Fracture: Pain, Swelling, and Rehabilitation Tips
Closed fracture of the radial head? 1. Closed fracture of the radial head. A self-paid operation for the placement of an O-Pace plate has been performed. It has been over 6 weeks since the injury, and the hand is still swollen. What can be done to reduce the swelling? The hand ca...
Dr. Wang Shouji Reply:
Hello: For a radial head fracture, it is important to first confirm whether the alignment is normal. If it is normal, it is generally expected that rehabilitation will take at least one to two months for normal recovery. If the anatomical position is correct, full functional reco...[Read More] Managing Recovery from Radial Head Fracture: Pain, Swelling, and Rehabilitation Tips
Understanding Recovery from Radial Head and Femoral Neck Fractures
Closed fracture of the radial head. Right femoral neck fracture? 1. I sustained an injury on May 13 and had a steel plate inserted. Currently, when I perform wrist rotation and palm-up movements, there is a popping sound and pain. Is that normal? When both arms are extended, the ...
Dr. Huang Minxu Reply:
Hello: 1. The swelling and pain approximately six weeks post-surgery may be related to the severity of the injury. It is difficult to assess the postoperative condition based solely on appearance, so it is recommended to follow up with an outpatient X-ray to evaluate the situatio...[Read More] Understanding Recovery from Radial Head and Femoral Neck Fractures
Persistent Bump on Child's Forehead: Seeking Solutions After 1.5 Years
The child's head has been swollen for a year and a half without resolution? Hello Doctor, my daughter is now two and a half years old. A year and a half ago, she fell from the bed and hit her forehead against a cabinet, resulting in a scar and a large bump. At that time, she...
Dr. Li Wenhong Reply:
Hello: If it has been a year and a half without neurological symptoms (such as seizures, convulsions, changes in consciousness, or absence seizures), you may observe the condition without further heat application or massage. If the mass continues to grow, it is recommended to ret...[Read More] Persistent Bump on Child's Forehead: Seeking Solutions After 1.5 Years
Managing Post-Fracture Recovery: Tips for Preventing Arthritis After a Radial Head Injury
Radial head comminuted fracture (Mason type III) Hello, Doctor. I was in a car accident on November 26, resulting in a comminuted fracture of the left radial head. The physician diagnosed it as a Mason Type III fracture, which required surgical intervention to insert a steel plat...
Dr. Shi Guozheng Reply:
Your maintenance methods may potentially delay the onset of arthritis. Additionally, some suggest that taking glucosamine may improve conditions, as it can promote cartilage growth. In the event that degenerative arthritis does occur, high-concentration platelet-rich plasma (PRP)...[Read More] Managing Post-Fracture Recovery: Tips for Preventing Arthritis After a Radial Head Injury
Understanding Recovery Challenges After Mason Type III Radial Head Fracture
Limited flexion and extension after a Mason type III fracture of the radial head? Hello Doctor, I had surgery on November 26, where a steel plate and four screws were used to stabilize and fix the radius neck. The physician advised that I should have the stitches removed after tw...
Dr. Shi Guozheng Reply:
After surgery for a radial head fracture at the elbow joint, it typically takes about six to twelve weeks for the swelling to completely subside. Your description does not indicate any infection issues, but rather poor mobility, which can be improved through active rehabilitation...[Read More] Understanding Recovery Challenges After Mason Type III Radial Head Fracture
Effective Strategies for Managing Chronic Pain in Multiple Joints
Shoulder blade, wrist joint, knee joint, ankle joint, lumbar intervertebral disc, sternum? The trapezius muscle has been in a forward-leaning position for a period of time while using a laptop about 8.9 years ago, resulting in long-term stiffness and soreness in the deeper areas ...
Dr. Shi Guozheng Reply:
Shoulder and neck pain is usually caused by overuse, and reducing activity in this area along with moderate heat therapy or some rehabilitation treatments may lead to improvement. If the right wrist joint continues to be problematic, it may be necessary to check for ligament issu...[Read More] Effective Strategies for Managing Chronic Pain in Multiple Joints
Understanding Cervical Disc Herniation: Symptoms and Management
Cervical disc herniation Hello Dr. Chen: A month ago, due to work requirements, I performed a movement of "pushing a heavy object (a metal door) forward," after which I began to experience pain and a tingling sensation on the left side of my neck, as well as a tingling ...
Dr. Chen Yongxue Reply:
The cervical spinal nerves do not innervate the head or facial region, so the symptoms mentioned in your letter are likely not related to cervical disc herniation. The tingling sensation may be originating from myofascial inflammation. Please consult a nearby orthopedic outpatien...[Read More] Understanding Cervical Disc Herniation: Symptoms and Management
Understanding Avascular Necrosis After Fractures: Treatment and Recovery Insights
Avascular necrosis of the femoral head due to fracture of the wide joint? Is it necessary to replace the hip joint with an artificial joint for avascular necrosis of the femoral head due to closed fracture? If detected and treated early, will a replacement still be needed? How lo...
Dr. Shi Guozheng Reply:
Avascular necrosis of the femoral head requires assessment of its severity; only severe cases necessitate surgical intervention. In the early stages, surgery is not required, but close monitoring is essential. Typically, recovery from a total hip replacement takes about 6 to 12 w...[Read More] Understanding Avascular Necrosis After Fractures: Treatment and Recovery Insights
Understanding Recovery Time and Rehabilitation for Humeral Head Fractures
I have a fracture in my humeral head? Hello Dr. Hong: I accidentally fell while playing basketball and fractured my humeral head. I had a cast for one month and have completed five sessions of rehabilitation, but my arm has only recovered to about 45% of its previous function. Qu...
Dr. Hong Ximing Reply:
The healing time for a humeral fracture typically takes 6 to 8 weeks. A month of cast immobilization and 5 sessions of rehabilitation are insufficient; please seek further assistance from your orthopedic physician. Wishing you a speedy recovery.[Read More] Understanding Recovery Time and Rehabilitation for Humeral Head Fractures
Understanding Skull Shape Changes: Is It Normal at 19?
The bones of the skull? Hello, doctor. I have a question: I previously didn't have a bump on the top of my head, but recently I've been feeling very anxious, which often leads to a throbbing pain at the top of my head. When I massage it, I noticed a protrusion (the pain...
Dr. Hong Ximing Reply:
The protrusion on the top of the head can be revealed by a skull X-ray, and by the age of 19, the skull should be fully formed, which suggests it is unrelated to mental processes. Any confusion in thoughts may fall under the domain of psychosomatic medicine.[Read More] Understanding Skull Shape Changes: Is It Normal at 19?
Is It Normal for Clavicle Implant to Protrude and Cause Pain?
Protruding clavicle implant screw? In mid-April 2014, I underwent fixation of a clavicular displacement with a steel pin, but recently the head of the pin has protruded from the back of my hand, causing pain and bruising. Is this normal?
Dr. Shi Guozheng Reply:
The fixation screws for a clavicle fracture may sometimes protrude and press against the skin and the underlying soft tissue. Typically, they can only be removed after the fracture has healed; however, if an infection occurs, the situation may differ. Current pain can be managed ...[Read More] Is It Normal for Clavicle Implant to Protrude and Cause Pain?
Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Recovery
Avascular necrosis of the femoral head Hello, Doctor: I was diagnosed with avascular necrosis of the femoral head in early February this year at the Penghu Naval Hospital, affecting both legs, with a smaller area of necrosis in the right leg. I will undergo a decompression surger...
Dr. Hong Ximing Reply:
Bilateral femoral head necrosis is best supported by X-ray evidence. Before the acetabulum is damaged, a hemiarthroplasty can be performed, but ultimately a total hip arthroplasty will be necessary. Decompression surgery is a procedure performed prior to joint replacement. Curren...[Read More] Understanding Avascular Necrosis of the Femoral Head: Treatment Options and Recovery
Understanding Hip Clicking: Is It a Sign of Ankylosing Spondylitis?
Ankylosing Spondylitis Hello doctor, three months ago I experienced lower back pain after lifting heavy objects, and during an incidental examination, I was found to have the HLA-B27 gene associated with ankylosing spondylitis. However, after examination, the doctor determined th...
Dr. Shi Guozheng Reply:
Ankylosing spondylitis does not cause joint crepitus. Crepitus in the hip is unrelated to hip joint necrosis. It occurs due to the fibrosis and subsequent stiffness of the gluteus maximus muscle, which produces a sound as it glides over the greater trochanter of the femur. This s...[Read More] Understanding Hip Clicking: Is It a Sign of Ankylosing Spondylitis?
Understanding Clavicle Fractures: Recovery, Nutrition, and Rehabilitation
Clavicle fracture? On August 15th of this year, while riding my motorcycle downhill on the Suhua Highway, I noticed that the cement surface was wet and slippery. Seeing a red light ahead, I immediately braked and lost control, causing me to fall. My right shoulder hit the ground,...
Dr. Zhang Jiahao Reply:
Hello: Basically, you will need to keep your arm immobilized with a triangular bandage after surgery, which can both stabilize and support your upper limb. The time it takes for the bone to heal varies from person to person, but your attending physician should arrange for follow-...[Read More] Understanding Clavicle Fractures: Recovery, Nutrition, and Rehabilitation