Post-ACL Surgery Concerns: Is My Knee Stability Normal?
Post-operative concerns regarding the anterior cruciate ligament (ACL) surgery? Hello, doctor. I underwent anterior cruciate ligament (ACL) reconstruction surgery nearly nine weeks ago. Out of curiosity, I tested the stability (drawer test) yesterday and found it to be somewhat l...
Dr. Chen Yongxue Reply:
Hello: The drawer test is used to assess the stability of the cruciate ligaments. It must be performed while the patient's muscles are relaxed and compared to the normal side. It is generally difficult for patients to obtain accurate results on their own. Additionally, a dis...[Read More] Post-ACL Surgery Concerns: Is My Knee Stability Normal?
Understanding Elbow Injuries: Managing Ulnar Fractures After a Car Accident
Elbow fracture due to a car accident? Hello Doctor, I sustained an injury to my right wrist during a car accident when I landed on it, resulting in a small fracture at the tip of the right ulnar bone (approximately the size of a grain of rice) that is displaced, along with a frag...
Dr. Shi Guozheng Reply:
Typically, when a wrist injury occurs, the tip of the ulnar side has ligament attachments. If there is a fracture, it often accompanies ligament injuries. Generally, conservative treatment over six weeks to three months will lead to healing, and small fragments do not necessarily...[Read More] Understanding Elbow Injuries: Managing Ulnar Fractures After a Car Accident
Understanding Coccydynia: Pain at the Tailbone During Recovery
Coccydynia Hello, doctor. Due to a leg injury, I have been in a cast and hospitalized for about two weeks. Recently, I have noticed pain in the coccyx area; it hurts when I gently touch or apply pressure to it. However, I do not feel any discomfort while lying flat. Instead, when...
Dr. Shi Guozheng Reply:
Patients who remain bedridden for extended periods often experience this phenomenon because the soft tissue thickness around the coccyx or sacrum, located at the end of the spine, is relatively thin, often described as "skin over bone." Prolonged pressure can lead to in...[Read More] Understanding Coccydynia: Pain at the Tailbone During Recovery
Improving Knee Flexion After Severe Injury: Options and Hope
Knee flexion issues? Hello, doctor... At the end of last year, I was involved in a serious car accident that resulted in an open fracture of my left thigh and some bone fragments in my knee. I have been undergoing rehabilitation for the past seven months, and last month I even ha...
Dr. Shi Guozheng Reply:
Your condition may be due to an extension contracture of the knee joint following a fracture, or a quadriceps muscle contracture, which means the knee is fixed in an extended position and cannot flex properly. This may be caused by adhesions or shortening of the quadriceps muscle...[Read More] Improving Knee Flexion After Severe Injury: Options and Hope
Understanding Ligament Tears: Treatment Options and Growth Concerns
Ligament tear Hello, I have a torn ligament behind my left knee. I went to see a doctor, and he said that because I am still quite young, surgery is not suitable for me, so I haven't undergone any procedures. However, I'm not sure what to do because there is some swelli...
Dr. Wang Shouji Reply:
Hello: Ligament tears are not related to height growth. If the growth plates have fused and there is significant instability, reconstruction of the cruciate ligament may be necessary. Rehabilitation can be initiated for six months, and further evaluation of instability will deter...[Read More] Understanding Ligament Tears: Treatment Options and Growth Concerns
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
Post-ACL Reconstruction: Understanding Tightness and Pain During Recovery
Feeling tight after posterior cruciate ligament reconstruction surgery? I just had anterior cruciate ligament reconstruction surgery a week ago. During this week's rehabilitation, I haven't encountered any issues. However, starting yesterday, when I attempt to bend my k...
Dr. Chen Yongxue Reply:
After posterior cruciate ligament reconstruction, a brace should be used for protection and to assist mobility. In the early postoperative period, there may be discomfort during activities. If this discomfort is accompanied by new symptoms, please return for a follow-up appointme...[Read More] Post-ACL Reconstruction: Understanding Tightness and Pain During Recovery
Understanding Conservative Treatment for ACL Injuries in Children
What is conservative treatment? Hello doctor, my son has been diagnosed with a partial tear of the anterior cruciate ligament (ACL) due to a sports injury and is going to undergo conservative treatment. I am not very familiar with what conservative treatment entails, and how it i...
Dr. Wang Shouji Reply:
Hello: Rehabilitation and strength training are more conservative non-surgical treatment options. If instability increases, further evaluation will be necessary to determine if anterior cruciate ligament reconstruction surgery is required. Thank you![Read More] Understanding Conservative Treatment for ACL Injuries in Children
Understanding ACL Tears: MRI Interpretation and Treatment Options
Interpretation of MRI Images for Anterior Cruciate Ligament (ACL) Tear Dear Director, I would like to ask about my left knee, specifically regarding the anterior cruciate ligament (ACL) tear as shown in the MRI. 1. In Photo 1, is the area circled in red indicative of a "c...
Dr. Shi Guozheng Reply:
It is not possible to interpret your imaging results. You may request a formal report from the radiology or medical imaging department regarding the examination you underwent. The thermal shrinkage you mentioned in relation to arthroscopic surgery may refer to a procedure involvi...[Read More] Understanding ACL Tears: MRI Interpretation and Treatment Options
Understanding Wrist Surgery: Loose Screws and Treatment Options
Carpal bone fixation screws The right wrist underwent a surgery for the separation of the scaphoid and lunate bones. Earlier this year, while working, I accidentally twisted my wrist violently, resulting in an injury. Since the pain fluctuated, I did not pay much attention to it....
Dr. Shi Guozheng Reply:
Scaphoid-lunate dissociation treatment and immobilization duration, as your attending physician mentioned, typically require about six to eight weeks. The position of the cast is also correct. After the cast is removed, stability should be assessed; if it remains unstable, it ind...[Read More] Understanding Wrist Surgery: Loose Screws and Treatment Options
Understanding Treatment Options for ACL Injuries: A Comprehensive Guide
Treatment of Anterior Cruciate Ligament (ACL) Injuries Hello Doctor: I had a motorcycle accident on May 20, resulting in abrasions on my left knee and tightness in the muscles on the posterior side. For the first three weeks, I received traditional Chinese medicine treatment with...
Dr. Shi Guozheng Reply:
In the case of a cruciate ligament injury, if it is not a complete tear, there is a chance for healing. However, the stability after healing needs to be further assessed. If the stability is inadequate, it may affect function, making surgery necessary. An MRI should be performed ...[Read More] Understanding Treatment Options for ACL Injuries: A Comprehensive Guide
Understanding Wrist Screw Loosening: Causes, Treatment, and Healing Tips
Loosening of wrist bone fixation screws? I underwent surgery for a scaphoid fracture in my right wrist. Earlier this year, I accidentally twisted my wrist violently while working, which caused an injury. Since the pain was intermittent, I didn't pay much attention to it. Rec...
Dr. Shi Guozheng Reply:
A cast immobilization may need to be extended due to slower bone healing. The cast used for a scaphoid fracture in the wrist is called a thumb spica cast, which immobilizes from below the elbow to the wrist and the interphalangeal joint of the thumb, without needing to extend to ...[Read More] Understanding Wrist Screw Loosening: Causes, Treatment, and Healing Tips
Understanding Shoulder Dislocation: Recovery, Rehabilitation, and Concerns
Acromioclavicular joint dislocation A few days ago, I suffered a shoulder ligament tear and clavicle dislocation (without fracture) due to a car accident. I underwent surgery at Tamsui Mackay Memorial Hospital on May 28, 2015, and was discharged on the 30th. The doctor used a &qu...
Dr. Lin Jingwei Reply:
Hello: 1. Currently, due to the time required for the repair of ligaments and other soft tissues, it is recommended to use a sling for protection for 4-6 weeks post-surgery. 2. The fixation button for the acromioclavicular joint is made of metal and generally does not need to be ...[Read More] Understanding Shoulder Dislocation: Recovery, Rehabilitation, and Concerns
Understanding Posterior Cruciate Ligament Injuries and Recovery Tips
Posterior cruciate ligament tear with associated fracture? Last week, after a motorcycle accident, I went to the hospital where the doctor diagnosed me with a 71784 right knee posterior cruciate ligament (PCL) strain and a tibial fracture. After reviewing the X-rays, the doctor m...
Dr. Chen Yongxue Reply:
The cruciate ligament brace is used for patients undergoing cruciate ligament reconstruction or those with cruciate ligament tear-related fractures. This brace provides a certain degree of joint mobility under safe conditions. It is recommended that you wear this brace until the ...[Read More] Understanding Posterior Cruciate Ligament Injuries and Recovery Tips
Thumb Injury from Ball Impact: When to See an Orthopedic Specialist
Finger injury caused by a ball? About a week ago, my thumb was hit by a ball, causing pain in the flexor pollicis brevis muscle. I immediately applied ice, but there was swelling from the flexor pollicis brevis to the abductor pollicis brevis. The next day, I went to a traditiona...
Dr. Tan Zhuowen Reply:
Hello: Please visit the orthopedic outpatient clinic for a thorough examination by a physician, supplemented by X-ray imaging, to confirm whether there are any fractures or muscle and ligament injuries. Changhua Hospital cares about you.[Read More] Thumb Injury from Ball Impact: When to See an Orthopedic Specialist
Managing Posterior Cruciate Ligament Tear: Surgery or Conservative Treatment?
Tear of the posterior cruciate ligament with associated fracture? Hello, I had a motorcycle accident last month and was diagnosed with a torn posterior cruciate ligament and a fracture through X-rays. I did not undergo surgery and can walk now. Besides not being able to squat ful...
Dr. Shi Guozheng Reply:
In the acute phase of a torn anterior cruciate ligament with associated bony avulsion fractures (within 4 to 6 weeks), the preferred treatment is surgical reduction and fixation. After the acute phase, if there are no signs of instability, surgery may not be necessary. Casting or...[Read More] Managing Posterior Cruciate Ligament Tear: Surgery or Conservative Treatment?
Managing Acromioclavicular Joint Dislocation: Plate vs. Ligament Reconstruction
Dislocation of the acromioclavicular joint? In this situation, which treatment method is more appropriate: the use of a clavicular hook plate or ligament reconstruction? Is ligament reconstruction the same as Tommy John surgery? Thank you.
Dr. Chen Yongxue Reply:
Hello, as far as I know, Tommy John surgery is related to the elbow and not the acromioclavicular joint reconstruction. There are several different surgical methods, each with its own advantages and disadvantages. Currently, the use of a plate is a common method, but it can be qu...[Read More] Managing Acromioclavicular Joint Dislocation: Plate vs. Ligament Reconstruction
Post-Surgery Recovery: Dietary Restrictions After ACL and Ligament Repair
Ligament surgery I just had surgery a month ago for an artificial anterior cruciate ligament (ACL) and a repair of the medial meniscus. Due to a history of gout, I experienced an acute gout attack three days post-surgery. My ankle has been swollen and has limited range of motion....
Dr. Chen Yongxue Reply:
For Western medicine, there are no dietary restrictions required after cruciate ligament and meniscus repair. Thank you.[Read More] Post-Surgery Recovery: Dietary Restrictions After ACL and Ligament Repair
Understanding Knee Crepitus: Causes and Treatment Options
Knee cartilage wear with crepitus? Hello, I recently suffered a ligament strain while playing basketball. Initially, I couldn't bend my right leg fully, and there was a small popping sound. Since I had no issues with daily activities, I continued to play. The next day, my ra...
Dr. Shi Guozheng Reply:
Your treatment has been proactive and has shown improvement, but the body's recovery takes a certain amount of time. Typically, injured tissues require more than six weeks to gradually heal, and in more severe cases, it may take up to three months. The treatment you have rec...[Read More] Understanding Knee Crepitus: Causes and Treatment Options
Understanding Knee Tightness and Sounds: Causes and Recovery Tips
Both knees feel tight? Hello Dr. Shi, thank you for taking the time to answer my questions previously. Your explanations have made me feel a bit more at ease. However, my knees still feel tight, especially on the inner anterior side, which feels numb. When I bend my knees and the...
Dr. Shi Guozheng Reply:
The sound that occurs when bending the knee does not necessarily indicate a pathological condition; it is often caused by ligaments or tendons sliding over the surface of the bone. If there is no pain associated with it, there is no need for concern. Climbing stairs daily, as lon...[Read More] Understanding Knee Tightness and Sounds: Causes and Recovery Tips