Knee, Orthopedics FAQ

Understanding ACL Tears: Symptoms, Risks, and Treatment Options

Anterior cruciate ligament tear Ten days ago, I was playing basketball and landed on one foot, twisting my left knee. A few hours later, it swelled up, and I experienced weakness and pain while walking. I can’t bend my knee beyond 90 degrees without pain. I had an MRI, which show...

Dr. You Dianqi Reply:
Hello: According to your description, it seems that the anterior cruciate ligament (ACL) has transitioned from a tear to a rupture. In medical terminology, both a tear and a rupture refer to the same condition, with the distinction being whether it is a partial (single bundle) or...

Post-Surgery Concerns for Ankle Fracture Recovery

Postoperative Issues Following Ankle Fracture Surgery Hello, doctor. My husband had an open fracture of his right ankle from a car accident a few days ago, and he underwent surgery today to have a metal plate inserted. He has been experiencing recurrent fevers every day, and afte...

Dr. You Dianqi Reply:
Hello: The occurrence of fever without any accompanying symptoms is not common. Please discuss this with the surgeon as soon as possible to ensure that your husband is within the normal range of postoperative recovery. We hope for a swift recovery for your family.

Limited Knee Joint Mobility After Fracture: Causes and Solutions

Limited range of motion in the knee joint after a fracture? Hello Doctor, last year I suffered an open fracture of the distal femur (near the knee) in a car accident, along with a fractured patella, and underwent internal fixation surgery. The bone has healed since then, but duri...

Dr. Chen Yongxue Reply:
Hello, 1. When the knee joint is flexed to 80 degrees, and it cannot be further increased even with mechanical loading, accompanied by a feeling of tightness around the knee, could this be solely an adhesion issue? Or is there a possibility that the joint mobility is affected b...

Understanding Avascular Necrosis of the Femoral Condyle: Treatment Options and Recovery

Avascular necrosis of the femoral condyle? Hello Dr. Chen, My mother suddenly fell on the street due to knee pain while walking six months ago. At that time, she had an X-ray examination at a nearby orthopedic clinic, but the doctor did not find any abnormalities. Due to the pan...

Dr. Chen Bochen Reply:
Hello: If the MRI shows early-stage osteonecrosis of the medial condyle, conservative treatment can be employed, which includes non-weight bearing with crutches, along with regenerative treatments such as platelet-rich plasma (PRP) therapy and hyperbaric oxygen therapy. Arthrosco...

Understanding Joint Cracking: When to Seek Medical Advice

Joint crepitus Since April of this year, I have been experiencing cracking sounds in my joints, such as my knees and wrists, particularly in my right wrist (I am right-handed). This occurs about three to four times an hour. I have a lean body type, and I'm not sure if that h...

Dr. Chen Bochen Reply:
Hello: The source of the popping sound is generally due to the formation of gas bubbles within the joint or the sound of tendons and ligaments rubbing against the bone. Typically, this sound is harmless, but if it causes pain or affects mobility, it is advisable to seek medical e...

Understanding Recovery After Artificial Posterior Cruciate Ligament Surgery

Anterior cruciate ligament reconstruction surgery Hello Doctor: I underwent an anterior cruciate ligament (ACL) reconstruction surgery on July 15 of this year, and it has been nearly three months since the procedure. However, I can only achieve a bending angle of close to 90 degr...

Dr. Shi Guozheng Reply:
Rehabilitation after ligament reconstruction of the knee typically takes about six months to a year, so it is essential to continue with the rehabilitation process.

Understanding Leg Injuries: Causes, Symptoms, and Treatment Options

Leg problems? I'm sorry to hear about your situation. Last August, I was in a car accident where my right foot made a loud noise upon hitting the ground, and my left foot was pinned under a falling motorcycle. Upon being taken to the hospital, it was discovered that I had se...

Dr. Shi Guozheng Reply:
Bruises may occur due to bleeding from muscle impact. After an injury, you can apply heat to alleviate swelling after three days. If there is pain, over-the-counter analgesics and anti-inflammatory medications can be taken for treatment.

Understanding Knee Injuries: Signs of Possible Ligament Damage

Knee problems Hello doctor, I would like to ask about my condition. Two weeks ago, I had a car accident and fell. Besides abrasions, most of my injuries are bruises. My left knee hurts both in the front and back when I walk. The doctor mentioned that it might be a ligament injury...

Dr. Shi Guozheng Reply:
If walking does not cause severe pain or instability, it is unlikely to be a ligament injury, and further observation is recommended.

Understanding High Tibial Osteotomy: Recovery, Pain Management, and Expectations

High tibial osteotomy Hello Doctor: I have a tear at the root of my medial meniscus, and due to my knee varus, the physician recommended that I undergo high tibial osteotomy two weeks ago, utilizing 3D printing technology for the osteotomy and a titanium plate was installed. Thre...

Dr. Shi Guozheng Reply:
1. It is normal; recovery typically takes about three months. 2. Wound healing requires time, usually at least six weeks or more. 3. It may not be necessary to remove it unless there is sharp pain or severe discomfort. 4. Crutches should not be discontinued until the bone h...

Post-Car Accident Knee Pain: When to Seek Medical Attention?

Car accident injuries? I would like to ask the doctor, I had a motorcycle accident on August 28, where I fell off the bike and injured my knee, resulting in abrasions and bruising. The external injuries have healed, but I still experience pain when I press on the injured area. Is...

Dr. Chen Yongxue Reply:
Hello, a typical bruise usually takes about a few weeks to heal. If the healing process takes too long, it is advisable to visit a clinic for a physical examination or an X-ray. Thank you.

Patellar Dislocation: Managing Knee Pain and Running Risks

Patellar dislocation Hello, doctor. Three years ago, I dislocated my patella due to a fall. Since then, my knee has often been painful every night, and I find it difficult to move after waking up with my leg straight. I consulted an orthopedic specialist who diagnosed me with pat...

Dr. Chen Yongxue Reply:
Hello, moderate exercise is beneficial for the joints as it can enhance muscular endurance. However, excessive exercise can be detrimental and increase joint wear. Swimming is one of the best activities because the buoyancy of water helps reduce the gravitational stress on the jo...

Managing Patellar Dislocation: Running and Knee Pain Solutions

Patellar dislocation Hello, doctor. Three years ago, I dislocated my patella due to a fall. Since then, my knee often hurts every night, and I find it difficult to move after waking up with my leg straight. I consulted an orthopedic specialist who diagnosed me with patellar malal...

Managing Pain from Titanium Plates After Tibial Fracture: What to Expect

Titanium alloy plate for tibial fracture? Hello Doctor: After a tibial fracture has healed, the doctor mentioned that the titanium alloy plate can be removed after one year. During this period, I can engage in any sports activities. However, when I run quickly, I feel pain at the...

Dr. You Dianqi Reply:
Hello, it is advisable to consult your primary physician. Thank you.

Can You Still Grow Taller After Growth Plate Closure? Exploring Options

If the growth plates have closed, are there any other methods to increase height? Hello, two days ago I visited the hospital, and the doctor informed me that the growth plates in my hands have already closed. I would like to ask: 1. If the growth plates in my hands have closed,...

Dr. Shi Guozheng Reply:
1. Administering growth hormone after the growth plates have closed is ineffective. 2. The claims circulating on the internet are incorrect. 3. There are no foods that can achieve this. 4. There is no such method. 5. Limb lengthening surgery involves a surgical technique ...

Managing Anterior Knee Pain: Tips for Safe Exercise and Recovery

Anterior knee pain Hello, doctor! When I was in elementary school, I experienced knee pain due to excessive running. This pain occurred infrequently during middle and high school. However, in my senior year of high school, I started exercising regularly using a fitness app. Yeste...

Dr. Wang Shouji Reply:
Hello, first we need to confirm whether the pain is due to tendonitis or a hip joint issue. Intense activities should be avoided initially, and understanding the underlying cause will allow for appropriate recommendations. Changhua Hospital cares about your health. Sincerely, Wan...

Understanding Avascular Necrosis of the Knee in Adolescents: Causes and Treatment Options

Knee issues: Avascular necrosis of the patella? Hello: A 14-year-old child, 140 cm tall, has been receiving growth hormone therapy for about 2 years. Six months ago, there was swelling in the knee, and an MRI confirmed a 9 mm area of avascular necrosis in the knee. 1. Is there an...

Dr. Li Wenhong Reply:
Hello: 1. The avascular necrosis of the patella cannot be confirmed to be related to the administration of growth hormone. 2. It is advisable to first observe whether the symptoms (pain) worsen and whether the articular cartilage is prone to detachment, causing joint movement res...

Understanding Patellar High-Riding Surgery: Options and Recovery Insights

Patellar high-riding surgery Two years ago, I suffered a complete rupture of the patellar tendon in the middle due to sports. After surgical repair, I have been undergoing rehabilitation, but to this day, my knee joint cannot fully extend. The rehabilitation physician mentioned t...

Dr. Cai Shanglin Reply:
Hello, it seems that the patellar tendon elevation surgery you are referring to is a procedure that shortens the knee ligament. I'm not sure what your doctor's detailed plan is, so it may be necessary for you to discuss this with your physician. After the tendon repair,...

Post-Crash Knee and Arm Injuries: When to See an Orthopedic Specialist

Knee issues due to injuries from a car accident? Hello, Doctor. I had a motorcycle accident on July 23rd, where I fell face down, resulting in most of my injuries being on the front of my body. My left arm, both legs, and knees have bruises from the impact. After the accident, I ...

Dr. Chen Yongxue Reply:
Hello, anything related to bones, joints, ligaments, and muscles falls under the scope of orthopedics. Don't worry, as many injuries still require physical examination and imaging studies. It is best to consult an orthopedic specialist. Thank you.

Sudden Knee Tightness and Pain: Causes and Concerns

The knee suddenly feels very tight and walking is extremely painful? Hello, doctor. I suddenly felt a lot of soreness in my knee the day before yesterday, which later turned into tightness. It hurts when I straighten my leg, and walking is very painful. What could be the problem?...

Dr. Shi Guozheng Reply:
Gout typically presents with redness, heat, and pain, along with elevated uric acid levels in the blood. If these symptoms are not present, it may only be inflammation. Resting may help, and if recovery occurs, there is usually no cause for concern.

Understanding Meniscus Tears: Why Surgery May Not Include Repair

Meniscus tear Hello doctor, I had surgery on June 29 for a complete tear of both the anterior cruciate ligaments and a meniscus tear. My last follow-up was on September 9, and I can now bend my knee, but it is very painful at the back of the knee when I bend it. The doctor said i...

Dr. Chen Yongxue Reply:
Hello, I just want to understand why they didn't repair it directly during the surgery? It may not have been necessary to repair it. For more details, please consult the attending physician. Thank you.

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