Patella, Orthopedics FAQ

Understanding Patellar Dislocation: Symptoms, Mobility, and Pain Management

Issues with the patella? Hello, doctor. I would like to ask you another question. If a bone is displaced (regardless of the degree of displacement), what would happen? Can it bend? Can a person walk? Will it be painful? Thank you.

Dr. Shi Guozheng Reply:
Bone displacement can lead to poor joint mobility, which, over time, can result in wear and tear, ultimately leading to osteoarthritis. Displacement is certainly painful, and bending will be limited. Walking is similarly affected.

Understanding Patellar Malalignment: Causes, Symptoms, and Treatment Options

Patellar valgus Hello, Dr. Yeh: I believe I have had a slight bowleg (O-shaped legs) since childhood, but I have always enjoyed sports. During my school years, I frequently ran and played ball. Three years ago, I fell in love with hiking, and in the past year or two, I have star...

Dr. Ye Qingnian Reply:
Hello Sir: Thank you for your inquiry. I would like to respond to your question and provide the following suggestions: Based on the chief complaint and symptoms, it seems that you may be experiencing patellar subluxation. It is advisable to regularly perform straight leg raises w...

Understanding the Causes of Knee Synovitis: Insights from Dr. Wang

Knee How does knee synovitis occur, Dr. Wang?

Dr. Wang Shouji Reply:
Patellar anterior synovitis is often caused by traumatic impact or prolonged friction of the patella (such as kneeling).

Understanding Patellar Malalignment: Causes, Recovery, and Exercise Tips

Patellar valgus Hello, I have some questions regarding patellar valgus: 1. If the patellar gap is uneven and the gap is smaller in some areas, does that indicate cartilage wear? 2. Will leg strength training help restore the normal patellar gap? 3. Is cycling a suitable exercise?...

Dr. Shi Guozheng Reply:
There may be some wear and tear, but if bone spurs have not yet formed, it is not serious. Strength training may help with recovery. Cycling is not recommended.

Uneven Knee Joint Space: Understanding Osteoarthritis and Treatment Options

Uneven knee joint space? Hello, Director: I have been experiencing knee pain while walking and going down stairs for the past year. An X-ray showed that the space between the knee bones is uneven, with one side narrower than the other. The doctor mentioned that I should undergo r...

Dr. Shi Guozheng Reply:
Degenerative arthritis typically occurs in the joints between the femur and tibia (referred to as the tibiofemoral joint) and the joint between the patella and femur (known as the patellofemoral joint). If the joint surfaces degenerate and wear down, the joint space will change, ...

Understanding Knee Weakness: Causes and Concerns for Patients

Leg weakness? Hello Doctor, I would like to ask about an issue with my knee. Sometimes, when I go up or down stairs, my knee suddenly feels weak, but I don't experience this during exercise. I consulted an orthopedic doctor and described my knee problem, but the doctor said ...

Dr. Li Wenlin Reply:
Hello: Your issue is most likely patellar chondromalacia. You should try to avoid squatting and climbing stairs, and minimize bending your knee beyond 90 degrees. If there is still no improvement, it is advisable to consult another orthopedic surgeon. Wishing you a speedy recover...

Managing Inflammation of the Knee Cartilage: Care Tips and Follow-Up

Periosteitis If you have inflammation of the knee cartilage (chondromalacia), it is important to pay special attention to the following aspects for care and management: 1. **Rest and Activity Modification**: Avoid activities that put excessive stress on the knee, such as running...

Dr. Shi Qiming Reply:
Patellar chondromalacia is typically caused by overuse, such as excessive physical activity or work, leading to softening of the cartilage in the patella, resulting in symptoms like pain and difficulty with stair climbing. It is advisable to consult a sports medicine specialist i...

Managing Knee Pain: Understanding Valgus Deformity and Cartilage Damage

Genu valgum with associated lateral chondromalacia? Hello, doctor. I just turned 18, and I was shocked to find out from my examination that I have genu valgum with associated lateral cartilage softening! This lengthy diagnosis really startled me because I have an upcoming graduat...

Dr. Shi Qiming Reply:
In cases of patellar valgus accompanied by osteomalacia, surgical intervention is generally considered based on the severity of the condition. If the severity does not reach a point where walking is completely impossible, it is advisable to first consider knee brace protection an...

Patellar Fractures: Cast vs. Pins - Which Treatment is Best?

Patellar fracture? The treatment for a patellar fracture may involve either casting or the use of bone screws. The choice between these options depends on the type and severity of the fracture. Generally, surgical fixation with bone screws is preferred for displaced fractures, as...

Dr. Li Wenlin Reply:
Hello: The treatment for a patellar fracture is determined by the size of the gap at the fracture site and its location, which will dictate whether casting or surgical internal fixation is necessary. Regardless of whether a cast or surgical treatment is used, a recovery period of...

Managing Patellar Chondromalacia: Treatment Options and Relief Strategies

Patellar chondromalacia I am a patient with patellar chondromalacia, experiencing cartilage wear on the right patella, graded between 2 and 3! I have undergone a tibial tuberosity osteotomy with a 1 cm elevation. Postoperatively, I feel significant pressure on the cartilage above...

Dr. Shi Guozheng Reply:
Minimize pressure on the patella as much as possible, such as when going up and down stairs, hiking, or performing squatting, kneeling, and jumping movements. This may help alleviate symptoms. If the surface of the patella is already worn, the symptoms may persist. If possible, r...

Comparing Intramedullary Nails and Fitbone for Tibial Fractures

Regarding intramedullary nailing for tibial fractures? Dear Director Hong, If there is a discrepancy in the length of the tibia in the lower limb, is the Ilizarov external fixation system for limb lengthening the only option? I have heard that in Germany, some doctors use the Fi...

Dr. Hong Ximing Reply:
Thank you for your question, which is very professional. Limb lengthening is generally performed using external fixation, and each method has its own advantages and disadvantages, as well as certain limitations, especially in adults or children. As for the intramedullary nail imp...

Understanding Patellar Fractures: Healing Time, Recovery Tips, and Muscle Rehab

Patellar fracture Hello Doctor, Subject: 1. Five months ago, I fractured my left patella (in three major pieces) due to a fall. I underwent surgery where screws and wires were used for fixation, and the cast has now been removed. Questions: 1. An X-ray shows that the bone h...

Dr. Chen Xingyuan Reply:
Dear Readers: After a patellar comminuted fracture surgery, it is crucial to pay special attention to protection and rehabilitation. Firstly, 1.5 months post-surgery, X-rays generally do not show bone growth, unless it is a child. The primary purpose of X-ray follow-ups is to che...

Understanding Knee Weakness: When to Seek Orthopedic Help

Knee weakness I am a taxi driver who underwent surgery ten years ago for a malignant spinal tumor, during which a vertebra was removed and replaced with a steel rod. My recovery has been good, and I can walk and run. However, in the past two to three months, I have found it diffi...

Dr. Shi Guozheng Reply:
There may be an issue with the spine; if there are bone spurs pressing on the nerves, it can cause pain, numbness, or tingling in the legs, making it difficult to walk long distances, requiring frequent breaks. Additionally, there may be a problem with the knee joint; if there is...

Understanding Lateral Knee Pain: Tendon Strain or Orthopedic Issue?

Lateral knee pain with a sensation of swelling when squatting? Pain on the outer and inner front side of the knee with a sensation of swelling when squatting. Could this be a sports-related tendon strain or an orthopedic issue that requires a visit to a rehabilitation specialist?...

Dr. Hong Ximing Reply:
Pain on the outer and inner sides of the knee in overweight individuals is most commonly associated with patellofemoral pain syndrome, which includes conditions such as chondromalacia patellae. These issues are related to body weight and center of gravity, and it is advisable to ...

Understanding Knee and Lower Back Pain: Causes and When to Seek Help

Knee pain and lower back pain? Hello Doctor: I have been experiencing pain in my left knee for a while, and recently I have noticed pain in my left lower back as well, which radiates to my left buttock and the back of my thigh. I would like to ask what might be causing this. The ...

Dr. Wang Shouji Reply:
Xiao Yu: If you have knee pain without obvious trauma, you should pay attention to whether there is a patellar issue. At this age, pain in the lower back, hips, and legs is often related to muscle and soft tissue problems, which are associated with poor posture and lifestyle habi...

Can Knee Sprains Lead to Patellar Chondromalacia? Insights and Cases

Sports injuries After a knee sprain, if one continues to engage in intense physical activity, is it possible to develop patellar chondromalacia? If so, please provide relevant medical theories and case studies. Thank you.

Dr. Li Wenlin Reply:
Hello: In response to your question, a knee sprain involves ligament injury and may result in instability. After a sprain, it is important to rest and avoid vigorous activities. A sprain is a clinical diagnosis, while the correct diagnosis of patellar chondromalacia relies on art...

Can Knee Sprains Lead to Patellar Chondromalacia? Insights and Cases

Sports injuries After a knee sprain, if one continues to engage in intense physical activity, is it possible to develop patellar chondromalacia? If so, I would appreciate any relevant medical theories and case studies.

Dr. Wang Shouji Reply:
Patellar chondromalacia refers to abnormal friction in the patellofemoral joint of the knee, leading to inflammation and even cartilage wear. Continuous intense knee activities can exacerbate inflammation and wear, making symptoms difficult to improve. It is recommended to visit ...

Understanding Knee Pain: Causes and Concerns for Joint Health

Knee pain? Hello Dr. Lee: For quite some time, I have been experiencing pain in both of my knees when squatting down or getting up, but I do not feel pain while walking. Sometimes, it seems to hurt when I stand up after sitting for a long time. What could be the reason for this? ...

Dr. Li Wenlin Reply:
Hello, In response to your question, your condition is most commonly caused by slight valgus of the patella, which leads to cartilage softening beneath the patella due to wear against the femur. This issue is particularly likely to occur when the knee is bent beyond ninety degr...

Understanding Tibial Plateau Injuries: Recovery and Rehabilitation Insights

Tibia table Hello Doctor: I underwent arthroscopic knee surgery on July 5th and was found to have severe patellar chondromalacia, detachment of the membrane on the anterior cruciate ligament, damage to the medial meniscus, and a cartilage tear approximately 1.5-2 cm on the tibial...

Dr. Shi Guozheng Reply:
The "tibial table" you referred to may actually be the tibial plateau, which is the area at the proximal end of the tibia where it meets the distal end of the femur to form the knee joint, covered by meniscus cartilage around its periphery. The bone surface on the joint...

Understanding Scoliosis: Back Pain and Knee Issues Explained

Scoliosis Hello Doctor, I would like to ask a few questions: 1. Does scoliosis affect back pain? Recently, I have been experiencing sharp pain in my left upper back, sometimes even affecting my breathing. I have had scoliosis for many years without any back pain, but recently...

Dr. Wang Shouji Reply:
Hui-Ling: 1. Yes, but the situation varies for each individual, so a detailed evaluation by a spine surgeon is recommended. 2. It is important to check for any patellar injuries; I suggest going to the orthopedic department for further examination. Wishing you a speedy recovery.

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