Understanding Meniscus Tears and Patellar Ligament Injuries in Knee MRI
Meniscus and patellar ligament? 1. MRI of the left knee without contrast enhancement shows: 1. No definite bony fracture. 2. Increased signal at the medial patellofemoral ligament (se/im: 3/6-8). 3. Increased signal at the lateral patellofemoral ligament (se/im: 3/5-1...
Dr. Shi Guozheng Reply:
The medial meniscus of the left knee joint is torn, and it is necessary to consult an orthopedic surgeon to review the imaging and determine whether arthroscopic surgery is needed.[Read More] Understanding Meniscus Tears and Patellar Ligament Injuries in Knee MRI
Understanding Knee Pain: When to See an Orthopedic Specialist
Knee issues Hello, doctor. Recently, I experienced some pain in the soft tissues around the inner side of my knee joint, but it subsided after a while. Now, I feel a bit of soreness and weakness around the inner joint area of my knee extending to my thigh when walking or sitting....
Dr. Shi Guozheng Reply:
It may be caused by inflammation of the medial tendons or muscles. If the pain persists, it is advisable to see an orthopedic specialist.[Read More] Understanding Knee Pain: When to See an Orthopedic Specialist
Do I Need Crutches Before Knee Surgery for Ligament and Cartilage Injury?
Anterior cruciate ligament (ACL) of the knee? Hello, Doctor: Thank you very much for taking the time to answer my questions last time. I would like to ask if, with my ligament and cartilage injuries, I will need to undergo arthroscopy to determine the actual condition. Before the...
Dr. Shi Guozheng Reply:
If there is a ligament tear, it may lead to joint instability, so using a cane while walking can be helpful. Typically, a standard cane is sufficient for this purpose, while the underarm support is referred to as a crutch.[Read More] Do I Need Crutches Before Knee Surgery for Ligament and Cartilage Injury?
Persistent Knee Pain After 3 Months of Physical Therapy: What to Do?
After three months of physical therapy for the knee, there are still occasional episodes of pain? Last year, I accidentally hit my right knee hard against the floor while walking. After seeing a doctor, I was diagnosed with a sprain of the muscles and ligaments. I have been under...
Dr. You Dianqi Reply:
Hello: My personal suggestion is to undergo a thorough examination first, as you have been injured for a year. If it is indeed a strain or bruise, you should have returned to normal by now. Therefore, I recommend having a detailed assessment before determining the next steps. Tha...[Read More] Persistent Knee Pain After 3 Months of Physical Therapy: What to Do?
Understanding ACL Tears: Recovery, Symptoms, and When to Consider Surgery
Anterior cruciate ligament tear Two and a half months ago, I injured my knee while playing basketball, and an MRI showed a torn anterior cruciate ligament (ACL) and bone contusions. Initially, for over a month, I couldn't fully extend my leg or bend it beyond 90 degrees. Now...
Dr. You Dianqi Reply:
Hello: A rupture of the cruciate ligament primarily leads to knee instability during sudden stops, sharp turns, and changes in direction, as well as chronic long-term instability resulting in wear and tear of the knee joint cartilage and meniscus. Conservative treatment, such as ...[Read More] Understanding ACL Tears: Recovery, Symptoms, and When to Consider Surgery
Understanding Patellar Fractures: Recovery, Rehabilitation, and Complications
Patellar fracture Hello, Doctor! In September of this year, I unfortunately had a car accident that resulted in a patellar fracture. Initially, it was a hairline fracture, and the emergency doctor applied a cast, stating that surgery was not necessary and that I should wait for t...
Dr. You Dianqi Reply:
Hello, I would like to clarify that responses on the internet, without direct patient contact, should primarily rely on the opinions of the operating surgeon. If misunderstandings arise in the doctor-patient relationship due to online responses, it is not the intended purpose of ...[Read More] Understanding Patellar Fractures: Recovery, Rehabilitation, and Complications
Understanding ACL Injuries: Symptoms, Diagnosis, and Treatment Options
Anterior cruciate ligament (ACL) Hello, Doctor: I apologize for bothering you. I was in a car accident on August 30 of this year, which resulted in a femur fracture. At the time, I did not feel any pain in my knee. After being discharged on September 6, I suddenly experienced sev...
Dr. Shi Guozheng Reply:
If a complete tear of the ligament is confirmed through arthroscopy and there is significant laxity in the knee joint, surgery may be necessary. You can consult with a physician at a sports medicine center for further evaluation to determine if surgery is required.[Read More] Understanding ACL Injuries: Symptoms, Diagnosis, and Treatment Options
Post-Tibial Fracture Surgery: Why Can't I Bend My Knee?
After a tibial fracture surgery, the knee cannot be flexed? Hello doctor, I had surgery on October 9, 2021, and the cast was removed on November 9, after which I was fitted with a protective brace (equivalent to a cast). When I removed the brace to clean my leg, I noticed that my...
Dr. Chen Yongxue Reply:
Hello, fractures around the joints often require fixation with a cast or splint after surgery due to the risk of displacement. However, prolonged immobilization can lead to joint stiffness. Please return for a follow-up appointment to have X-rays taken. If there is evidence of ca...[Read More] Post-Tibial Fracture Surgery: Why Can't I Bend My Knee?
Post-Surgery Concerns: Managing Swelling After Tibial Plateau Fracture
Postoperative care for tibial plateau fractures? Hello, I sustained a tibial plateau fracture in April 2020 and underwent arthroscopy and repair of the fractured plateau, along with the placement of artificial bone and steel nails. The plates and screws were removed in December o...
Dr. Wang Shouji Reply:
Hello, intra-articular fractures may lead to post-traumatic arthritis as a sequela. It largely depends on the condition of the joint after the fracture. Applying heat therapy may help, but if there is no improvement, it is advisable to consider arthroscopy to assess the intra-art...[Read More] Post-Surgery Concerns: Managing Swelling After Tibial Plateau Fracture
Understanding Meniscus Tears and ACL Reconstruction: What You Need to Know
Questions regarding the meniscus and posterior cruciate ligament? Hello Doctor: About ten years ago, I had a car accident that resulted in a fracture of the patella in my right knee. It wasn't until last year, after I twisted my knee while playing basketball and underwent an...
Dr. Shi Guozheng Reply:
If the meniscus does not cause the joint to lock, surgery for ligament reconstruction may not be necessary. You can consult with a sports medicine specialist at a medical center to inquire about the current surgical techniques and their effectiveness. It would be clearer to ask t...[Read More] Understanding Meniscus Tears and ACL Reconstruction: What You Need to Know
Understanding Patellar Fractures: Recovery, Rehabilitation, and Surgery Insights
Patellar fracture Hello, Doctor! I had an unfortunate car accident in September this year that resulted in a patellar fracture. Initially, it was a hairline fracture, and the emergency physician applied a cast, stating that surgery was not necessary and that I should wait for the...
Dr. Wang Jiacheng Reply:
1. It is usually noticeable. 2. Approximately three months. 3. The knee joint should not be excessively flexed. 4. It typically does not occur. 5. It can also be left in place; it only needs to be removed if it interferes with the mobility of the knee joint.[Read More] Understanding Patellar Fractures: Recovery, Rehabilitation, and Surgery Insights
Understanding Patella Fractures: Recovery, Surgery, and Rehabilitation
Patellar fracture caused by a car accident? Hello, Doctor! In September of this year, I unfortunately had a car accident that resulted in a patellar fracture. Initially, it was a hairline fracture, and the emergency doctor applied a cast, stating that surgery was not necessary an...
Dr. Shi Guozheng Reply:
1. It is usually noticeable. 2. Approximately three months. 3. The knee joint should not be excessively flexed. 4. It usually does not. 5. It can also be left in place; it only needs to be removed if it interferes with the movement of the knee joint.[Read More] Understanding Patella Fractures: Recovery, Surgery, and Rehabilitation
Long-Term Effects of Untreated Meniscus Tears in the Knee
Meniscus tear follow-up? Hello, Doctor. Ten years ago, I was in a car accident. At the time, I felt discomfort in my knee, but since I was still young, I didn't mention it to my family. That night, I realized I couldn't move my knee, so my family took me to a chiropract...
Dr. Shi Guozheng Reply:
If it only gets stuck momentarily and then resolves, continue to monitor it. However, if there are persistent pain symptoms, then active treatment will be necessary.[Read More] Long-Term Effects of Untreated Meniscus Tears in the Knee
Understanding Knee Pain: Causes and Solutions for Hikers
Knee problems 1. During my weekly outings for hiking and climbing, I have noticed that after walking down a slope (with steps like going down stairs) for a while, I experience a sensation in my knee that feels like it is twisted—it's a dull ache that is close to pain but not...
Dr. Chen Bochen Reply:
Hello: 1. I go hiking and mountaineering every weekend, and I have noticed that after walking down for a while (with intervals like going down stairs), my knee feels like it’s twisted, with a sensation that is almost painful but not quite. After resting for a bit, the sensation...[Read More] Understanding Knee Pain: Causes and Solutions for Hikers
Can Bacterial Infections in the Knee Joint Be Treated Without Surgery?
Knee joint infections do not necessarily require surgery? Hello Dr. Chen, My mother was hospitalized by an orthopedic surgeon due to a bacterial infection in her knee joint. Later, it was discovered that there were also bacteria in her bloodstream, raising concerns about the ba...
Dr. Chen Bochen Reply:
Hello: In general, intra-articular infections can be more effectively controlled after debridement (either arthroscopic or open surgery), but surgery is not always absolutely necessary. Factors such as the patient's immune status, the site of infection, and the bacterial spe...[Read More] Can Bacterial Infections in the Knee Joint Be Treated Without Surgery?
Is There Still Hope for Height Growth in Teenagers?
Is it still possible to grow taller at this age? I started my menstruation around the sixth grade, and during middle school, I would go to bed before 10 PM. However, due to my high school coursework, I now go to bed much later. In middle school, I used to jump rope every day, but...
Dr. Li Wenhong Reply:
Hello: You may still grow taller, but it is impossible to predict whether you will reach 160 centimeters. The knee pain you experience at night may be caused by excessive activity during the day and does not necessarily indicate growth. Please maintain a regular and healthy lifes...[Read More] Is There Still Hope for Height Growth in Teenagers?
Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained
I am unsure whether the pain is in the muscles or the bones? Hello, doctor. 1. Is it normal to hear popping or cracking sounds when rotating the head during stretching exercises? 2. There is a muscle located two finger widths behind the upper right shoulder that becomes sore a...
Dr. Wang Shouji Reply:
Hello, 1. Joint sounds during movement are usually not a concern if there are no accompanying symptoms such as pain. 2. Shoulder issues may be caused by muscle stiffness or poor circulation, and it is advisable to visit a hospital to check for potential cervical spine issues. 3. ...[Read More] Understanding Muscle and Bone Pain: Common Orthopedic Concerns Explained
Understanding Growth Pain and Scoliosis in Adolescents: Height Concerns
Height / Scoliosis / Growing Pains I got my first period in fifth grade when I was 148 cm tall. I graduated from elementary school at 152 cm, with my father at 173 cm and my mother at 170 cm. Based on genetic height, I should be around 164 cm, but now in ninth grade, I am only 15...
Dr. Chen Yongxue Reply:
Hello, height is generally related to factors such as genetics, nutrition, sleep, exercise, and hormonal levels. Typically, a person's height will fall between the heights of their parents, but there are many exceptions. Nutrition, sleep, and exercise are aspects we can acti...[Read More] Understanding Growth Pain and Scoliosis in Adolescents: Height Concerns
Post-Surgery Care for Knee Cartilage Repair: Essential Tips and Advice
Cartilage repair surgery Hello, Doctor: I have a post-operative question. I underwent surgery for cartilage wear in both knees on October 19. Due to the pandemic, I wanted to be discharged quickly, so on the day of the surgery, aside from receiving pain relief immediately after t...
Dr. Shi Guozheng Reply:
The surgery for cartilage wear is somewhat vague; is it typically arthroscopic surgery? Usually, after the surgery, rehabilitation should be gradual. Doing 500 repetitions of leg raises in one day might cause more muscle soreness. If there is swelling in the joint, applying ice p...[Read More] Post-Surgery Care for Knee Cartilage Repair: Essential Tips and Advice
Understanding Periosteal Injuries: Recovery Tips and Dietary Advice After a Car Accident
Car accident injuries? Hello Doctor, a few weeks ago I was injured in a car accident, and my knee was severely affected. I have been seeing doctors for several weeks, but it hasn't healed yet. The doctor told me that I have a periosteal injury. 1. What is a periosteal inju...
Dr. Shi Guozheng Reply:
1. The periosteum is a layer of soft tissue that covers the surface of the bone, which is typically only visible after incising the skin and muscle. Physicians often vaguely refer to periosteal injury, usually indicating a soft tissue contusion. True periosteal rupture occurs in ...[Read More] Understanding Periosteal Injuries: Recovery Tips and Dietary Advice After a Car Accident