Understanding Elbow Dislocation Recovery: Key Questions and Tips
Regarding elbow dislocation within one week? Hello, I dislocated my elbow on April 1st. After reduction at the hospital, I currently have a cast fixed at 90 degrees in front of my chest. During my follow-up visit, I saw the X-ray of the dislocation, which looked similar to the fi...
Dr. Shi Guozheng Reply:
1. An elbow dislocation typically involves ligament damage, which should be assessed for any associated fractures. Most ligaments are merely sprained rather than torn. To determine if there is nerve damage, check if the fingers can move and if the wrist can extend. 2. Movement of...[Read More] Understanding Elbow Dislocation Recovery: Key Questions and Tips
Left Elbow Dislocation and Lateral Ligament Tear: Surgical Considerations
Left shoulder dislocation with rupture of the lateral ligament? Hello, doctor! On January 8, I dislocated my left elbow while skiing in Japan. It was reduced on the same day, but it was misaligned, so I returned to Hong Kong and successfully had it realigned at Eastern Hospital o...
Dr. Shi Guozheng Reply:
Rehabilitation can continue for another three months before reassessing the possibility of regaining some muscle strength. If there is still significant instability and weakness, surgery may be necessary.[Read More] Left Elbow Dislocation and Lateral Ligament Tear: Surgical Considerations
Understanding Mild Knee Pain: Possible Causes and Solutions
Mild knee pain? I've been experiencing some soreness in my knee over the past couple of days. Could it possibly be related to the following issues: 1. I previously had an injury to my anterior cruciate ligament (ACL) but did not seek any treatment. 2. My growth plates have f...
Dr. Shi Guozheng Reply:
The closure of growth plates is not related to knee pain. If a person experiences rapid growth during puberty, the ligaments may be stretched, leading to growing pains. A tear in the anterior cruciate ligament (ACL) can cause anterior-posterior instability in the knee, resulting ...[Read More] Understanding Mild Knee Pain: Possible Causes and Solutions
Understanding Fracture Severity and Healing Time After Injury
How to assess the severity of a fracture and the healing time for fractures? Hello Dr. Chen: I was involved in a car accident on January 17, 2019, resulting in a comminuted fracture of my thigh, a comminuted and open fracture of my lower leg, and a torn posterior cruciate ligamen...
Dr. Chen Yongxue Reply:
Hello, it seems that you have sustained a severe injury with a comminuted fracture of the femur and an open fracture of the tibia, along with a torn posterior cruciate ligament. Comminuted fractures are generally worse than simple linear fractures, and open fractures are more ser...[Read More] Understanding Fracture Severity and Healing Time After Injury
Understanding Patellar Pain and Indentation After Knee Surgery
There is a depression in the patella that causes sharp pain upon pressure? Hello, Doctor. I suffered a ligament tear and a meniscus tear due to a car accident and underwent reconstruction surgery. It has been over a year since the surgery, but I still experience sharp pain when p...
Dr. You Dianqi Reply:
Hello, I would like to ask you if you used the patellar tendon for your anterior cruciate ligament reconstruction. If so, it is indeed possible for some individuals to experience postoperative complications. As for patellofemoral chondromalacia, the typical symptoms include disco...[Read More] Understanding Patellar Pain and Indentation After Knee Surgery
Post-Surgery Recovery Insights for Tibial Plateau Fractures
Postoperative care for tibial fractures? Hello Doctor, I was involved in a car accident on February 11, which resulted in a comminuted fracture of the left tibial plateau along with a knee dislocation. On February 12, I underwent surgery for the reduction and internal fixation of...
Dr. Shi Guozheng Reply:
1. It is normal for the condition one month post-surgery to take about three months for swelling to subside. 2. Changes in skin color around the surgical wound are also considered normal and may take several months to improve.[Read More] Post-Surgery Recovery Insights for Tibial Plateau Fractures
Understanding Knee Instability After ACL Reconstruction: Causes and Solutions
Knee instability after anterior cruciate ligament reconstruction? Dear Doctor, Happy New Year! I underwent anterior cruciate ligament reconstruction surgery on December 12, 2018, and it has been nearly 9 weeks since the procedure. My knee joint is still somewhat swollen. Currentl...
Dr. You Dianqi Reply:
Happy New Year, Prince Lode! You underwent reconstruction surgery for your right knee anterior cruciate ligament on December 12, 2018. There is still some swelling in your knee joint, and your main concern is the persistent feeling of looseness, which is similar to what you exper...[Read More] Understanding Knee Instability After ACL Reconstruction: Causes and Solutions
Understanding Patellar Dislocation: Diagnosis, Treatment, and Recovery Tips
Patellar dislocation issues? Echo: Musculoskeletal System Ultrasound Examination Chief Complaint: Sonar Diagnosis of left knee MPFL complete rupture from patella MRI: Knee MRI without contrast MRI of left knee using a 1.5 Tesla machine with axial section FSE PD with fat sup...
Dr. Li Yongheng Reply:
Hello, I have previously responded to some of your questions. Here are my replies one by one: 1. I am allergic to certain NSAIDs, but usually not to all NSAIDs. If I cannot take medication, then I will have to rely on ice packs and rest. 2. If there is no further dislocation, ...[Read More] Understanding Patellar Dislocation: Diagnosis, Treatment, and Recovery Tips
Understanding Wrist Ligament Pain: Causes and Treatment Options
Wrist ligaments Eight years ago, two ligaments in my wrist were severed due to a cut. After surgery, I underwent rehabilitation for one month and everything was normal. I had seen a doctor once, and at that time, the doctor informed me that being able to make a fist was the best ...
Dr. Chen Yongxue Reply:
Hello, this may require a visit to the outpatient clinic for an examination to provide you with more information. Thank you.[Read More] Understanding Wrist Ligament Pain: Causes and Treatment Options
Understanding Wrist Ligament Injuries: Causes of Pain and Treatment Options
Wrist ligaments Eight years ago, I severed two ligaments in my wrist due to a cut. After surgery, I underwent rehabilitation for one month and everything seemed normal. I had seen a doctor once, and at that time, the doctor informed me that being able to make a fist was the best ...
Dr. Chen Yongxue Reply:
Hello, generally speaking, cuts on the hand mostly involve tendons rather than ligaments. Ligaments are much tougher than tendons and are less likely to be cut. If there is a laceration of a tendon, the outcomes of debridement and suturing are usually good, but there is a risk of...[Read More] Understanding Wrist Ligament Injuries: Causes of Pain and Treatment Options
Eight Months Post-Ankle Fracture: Struggling to Walk Normally
Eight months after a right ankle fracture, I am still unable to walk normally? Hello Doctor: I have a right ankle fracture due to a car accident. It has been eight months since the injury. Currently, the following is known: (1) Musculoskeletal ultrasound report: right ankle sho...
Dr. Zhan Xian Reply:
Ankle fractures accompanied by nerve injury require both physical and neurological examinations, as they are not merely simple fractures. The treatment duration is longer. If there are any discomfort or questions, please visit the orthopedic outpatient clinic.[Read More] Eight Months Post-Ankle Fracture: Struggling to Walk Normally
Understanding Complete MPFL Rupture: Treatment Options and Recovery
Complete rupture of the medial patellofemoral ligament (MPFL) from the patella in the left Hello doctor, on November 7th, I bumped into a chair and dislocated my patella. The emergency physician performed a manual reduction of the knee dislocation. The next day, an orthopedic doc...
Dr. Li Yongheng Reply:
Hello, 1. The Medial Patellofemoral Ligament (MPFL) is typically injured due to traumatic patellar dislocation. It is generally recommended to use a knee brace for stabilization and to limit flexion for at least six weeks. Most patients will experience spontaneous recovery of t...[Read More] Understanding Complete MPFL Rupture: Treatment Options and Recovery
Understanding Cartilage Recovery Time and Assessment After Surgery
Cartilage healing time and condition assessment? Hello, Doctor. In August 2017, I suffered a sports injury that resulted in a torn anterior cruciate ligament (ACL) in my left leg, along with a meniscal tear. After surgery, the ACL healed well, but I continued to experience pain i...
Dr. Li Yongheng Reply:
1. Recovery typically takes six months. 2. It is not certain; it could be normal, or there may still be issues with the meniscus. 3. Strenuous exercise should be avoided for at least one year. 4. It depends on the specific circumstances at that time.[Read More] Understanding Cartilage Recovery Time and Assessment After Surgery
How to Differentiate Between ACL and MCL Injuries in Your Knee
I would like to confirm whether it is an injury to the anterior cruciate ligament (ACL) or the medial collateral ligament (MCL)? Hello, doctor. I sprained my knee on December 16. At that time, I was able to walk and immediately had an X-ray done, which showed no major bone issues...
Dr. Zhan Xian Reply:
The mechanism of injury for anterior cruciate ligament (ACL) tears often involves forces of valgus, external rotation, and hyperextension. Acute symptoms frequently present as hemarthrosis in the knee joint, while the pain point for the medial collateral ligament (MCL) is typical...[Read More] How to Differentiate Between ACL and MCL Injuries in Your Knee
Understanding Patellar Ligament Injuries: Surgery, Recovery, and Expert Opinions
Patellar ligament issues Hello Doctor, I injured my knee and dislocated my patella on November 7th when I bumped into a chair. The emergency physician performed a manual reduction, and the next day, an orthopedic doctor at Mackay Hospital removed the cast and drained the blood ac...
Dr. Li Yongheng Reply:
I recommend undergoing an MRI for further evaluation. I am not sure which ligament is torn, so I cannot provide the name of the surgery at this time. However, in general, for ligament reconstruction surgery, given your age, autograft tendons would be prioritized.[Read More] Understanding Patellar Ligament Injuries: Surgery, Recovery, and Expert Opinions
Understanding Ligament Damage: Repair Options and Surgical Insights
Ligament tear In early December of the previous year, I dislocated my patella after being hit by a ball on my knee. After seeking medical attention, I was placed in a brace for two weeks. The first doctor I consulted mentioned that I might have injured my ligaments but suggested ...
Dr. Shi Guozheng Reply:
There are four ligaments in the knee joint, and it's unclear which one is injured and the extent of the injury. If the anterior or posterior cruciate ligament is damaged, reconstruction may be necessary. If the patella is laterally displaced, a realignment operation may be r...[Read More] Understanding Ligament Damage: Repair Options and Surgical Insights
Is Your Knee Pain Linked to ACL Reconstruction Hardware?
Issues with Anterior Cruciate Ligament Reconstruction Screws Hello, Doctor: I sustained an injury to my right knee in a car accident in 1994, resulting in a torn anterior cruciate ligament (ACL) and meniscus damage. In 1996, I underwent ACL reconstruction surgery, during which th...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is likely unrelated to the metal screws; the most probable issue remains with the meniscus. Therefore, attempting to remove the screws may not be beneficial for symptom improvement.[Read More] Is Your Knee Pain Linked to ACL Reconstruction Hardware?
Understanding Persistent Joint Clicking After Soft Tissue Surgery
Soft tissue is trapped in the joint, but it still makes a cracking sound after surgery? Hello, Doctor! At the end of March this year, I injured my right thumb due to external force. After undergoing X-rays and an MRI, I was diagnosed with a ligament tear. After more than half a y...
Dr. Li Yongheng Reply:
Q.1 There is a possibility, but it is indeed difficult to diagnose using MRI or ultrasound. Q.2 There is a possibility. Q.3 Multiple surgeries may adversely affect the recovery of finger joint mobility. Q.4 Currently, there is no arthroscope available with such fine specifi...[Read More] Understanding Persistent Joint Clicking After Soft Tissue Surgery
Could My Symptoms Indicate Ankylosing Spondylitis?
Ankylosing spondylitis? Hello Dr. Lee, thank you for taking the time to respond despite your busy schedule. Here are my symptoms: 1. In mid-September, I felt a warm and tight sensation under my left rib (upper left abdomen), as if a strap was wrapped around it, which was very u...
Dr. Li Yongheng Reply:
Based on the symptoms mentioned, the likelihood of myofascial inflammation is the highest. It does not resemble the symptoms of ankylosing spondylitis, and a blood test for HLA-B27 can diagnose ankylosing spondylitis. It is recommended that you visit a rheumatology clinic for exa...[Read More] Could My Symptoms Indicate Ankylosing Spondylitis?
Post-Car Accident: Ankle Swelling and Pain After Hospital Discharge
After being discharged from the hospital following a car accident, my ankle started to swell? A couple of days ago, I was in a car accident. On the day of the accident, I had shoulder surgery and was hospitalized for four days. My lower leg was impacted during the accident, and a...
Dr. You Dianqi Reply:
Hello; based on your description, you are concerned about a possible fracture. Initially, the X-ray did not show any fractures, but there is a possibility of an occult fracture, which typically requires a CT scan for confirmation. There are many reasons for swelling, including fr...[Read More] Post-Car Accident: Ankle Swelling and Pain After Hospital Discharge