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
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 Metal Buttons from Patellar Ligament Surgery Be Reused?
Metal button for the patellar ligament? Hello, doctor! I would like to ask about my husband. Last year, he had a rupture of the patellar ligament and underwent surgery where two metal buttons were implanted. Recently, it seems that the ligament has ruptured again, and he is sched...
Dr. Chen Bochen Reply:
Hello, generally, these medical devices are not meant for reuse. However, sometimes if the surgeon determines that the situation allows for it, there may be a possibility of reuse.[Read More] Can Metal Buttons from Patellar Ligament Surgery Be Reused?
Can Metal Buttons from Patellar Ligament Surgery Be Reused?
Metal button for patellar ligament? Hello, doctor! I would like to ask about my husband. Last year, he had a rupture of the patellar ligament and underwent surgery where two metal buttons were implanted. Recently, it seems that the ligament has ruptured again after a year, and he...
Dr. Chen Bochen Reply:
Hello, generally, these types of medical devices are not meant for reuse. However, sometimes the surgeon performing your operation may determine that it is permissible based on the circumstances.[Read More] Can Metal Buttons from Patellar Ligament Surgery Be Reused?
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...[Read More] Limited Knee Joint Mobility After Fracture: Causes and Solutions
Understanding Fifth Metatarsal Fractures: Healing, Recovery, and Future Impact
Fifth metatarsal fracture Hello, doctor. It has been exactly one month since my fifth metatarsal fracture. I had a follow-up appointment yesterday where I had an X-ray taken. The doctor said that there are signs of healing when viewed from the front, but not from the side, and th...
Dr. Shi Guozheng Reply:
1. Typically, after six weeks, the bone has usually formed preliminary callus and has enough stability for walking. 2. There may also be residual effects. 3. If there is no displacement or only minimal displacement, surgery is not required and it does not have any impact.[Read More] Understanding Fifth Metatarsal Fractures: Healing, Recovery, and Future Impact
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...[Read More] Patellar Dislocation: Managing Knee Pain and Running Risks
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...
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 reduces the gravitational stress on the joints....[Read More] Managing Patellar Dislocation: Running and Knee Pain Solutions
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...[Read More] Understanding Avascular Necrosis of the Knee in Adolescents: Causes and Treatment Options
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,...[Read More] Understanding Patellar High-Riding Surgery: Options and Recovery Insights
Understanding Knee Injuries: Treatment Options for Fractures and Ligament Tears
Knee problems Hello, Doctor You. A few days ago, I had a motorcycle accident where I fell on my right knee, absorbing the impact of my entire body. I heard a popping sound and rated the pain at 5, managing to limp back home. The next day, I noticed a swelling in the center of my ...
Dr. You Dianqi Reply:
Hello, could you please send me the X-rays from that time? The descriptions in your article may have some inconsistencies from a medical standpoint. For example, the knee should refer to the patella, not the hip bone. It's normal for the general public, who are not medical p...[Read More] Understanding Knee Injuries: Treatment Options for Fractures and Ligament Tears
Severe Knee Injury After Fall: Symptoms, Diagnosis, and Next Steps
Knee issues Recently, I fell down the stairs at home with a loud crack, feeling something break. I couldn't stand up and was in excruciating pain. After forcing myself to stand, I noticed blood and upon examination, I found that my right knee had sunk in by 1 cm and was blee...
Dr. Shi Guozheng Reply:
If you are already receiving treatment at a hospital, you should follow the physician's recommendations, which may include immobilization with a cast or surgery. A decision can only be made after assessing the clinical condition.[Read More] Severe Knee Injury After Fall: Symptoms, Diagnosis, and Next Steps
Understanding Patellar Fractures: Pain Management and Recovery Tips
Patellar fracture Ten days ago, I fell and landed on both knees. I went to the emergency room and discovered that my left patella was fractured. It was immobilized with a cast. The doctor informed me that the patella would not support weight-bearing, so I should use crutches to a...
Dr. Shi Guozheng Reply:
If the pain does not improve, it may be necessary to get another X-ray to confirm whether there is any displacement of the fracture.[Read More] Understanding Patellar Fractures: Pain Management and Recovery Tips
Understanding Patellar Fractures: Recovery and Muscle Cramps Explained
Patellar comminuted fracture Hello Dr. Wang, I apologize for the mistake last time. I had a comminuted fracture of the patella in May 2020 and had wires inserted. I had them removed in May 2021, and now, over a year later, I am experiencing cramps in my thigh and calf.
Dr. Wang Shouji Reply:
Hello, cramps are mostly caused by muscle atrophy or poor circulation within the muscles. It is recommended to stretch the muscles more, engage in weight-bearing exercises to enhance muscle strength, and apply heat to improve blood circulation. Additionally, please consult a reha...[Read More] Understanding Patellar Fractures: Recovery and Muscle Cramps Explained
Understanding Leg Cramps After Knee Surgery: Causes and Solutions
Leg cramps in the thigh? Hello Dr. Wang, I had a patellar comminuted fracture surgery due to a car accident in May 2011. This May, I had the fixation wires removed. Since then, I have been experiencing cramps from my thigh to my calf. The injured leg has atrophied and is smaller ...
Dr. Wang Shouji Reply:
Hello, standing with full weight after a patellar fracture should not be an issue, but there is currently muscle atrophy. It is important to engage in strength training, as it has been a long time—ten years (from May 2021 to July 2021). It is uncertain whether the fracture has co...[Read More] Understanding Leg Cramps After Knee Surgery: Causes and Solutions
Knee Pain and Bruising in Teens: When to Seek Medical Attention
Knee patella pain? Hello Doctor: I am currently 18 years old. Recently, I have been experiencing pain in my knee bones (sometimes with a tingling sensation, and it hurts more at night than during the day). Occasionally, my shin bones also hurt, and I have noticed small bruises ap...
Dr. Shi Guozheng Reply:
You need to go to the hospital to see a doctor, as it could be a problem with the patella, such as patellar cartilage inflammation or improper alignment of the patella.[Read More] Knee Pain and Bruising in Teens: When to Seek Medical Attention
Post-Surgery Knee Pain: Understanding and Managing Discomfort After Patella Fracture
Postoperative issues related to patellar surgery? Hello, doctor. In mid-December last year, I suffered a comminuted fracture of the right patella due to a fall. The doctor treated it with two steel pins (which do not need to be removed) and artificial bone graft. It has been six ...
Dr. Wang Shouji Reply:
Hello, a patellar fracture can cause direct pressure when kneeling, which will definitely result in pain that may persist for a long time. It is recommended to bend and straighten the knee as much as possible. If kneeling is necessary, use a soft cushion to avoid direct contact w...[Read More] Post-Surgery Knee Pain: Understanding and Managing Discomfort After Patella Fracture
Pain in Elbow and Knee Joints During Bending: Causes and Solutions
Pain when the elbow joint and knee joint touch during bending? Hello, doctor. I started experiencing the following symptoms around March: pain near the protruding bone of my elbow and in the area on the outer side of my patella (kneecap) when bending, especially if there is exter...
Dr. Shi Guozheng Reply:
Avoiding excessive movements mentioned above can improve ligament or synovial inflammation. If it does not improve, then seek medical attention.[Read More] Pain in Elbow and Knee Joints During Bending: Causes and Solutions
Post-ACL Reconstruction: Understanding Anterior Knee Pain and Rehab Tips
Anterior knee pain after posterior cruciate ligament reconstruction? Hello Doctor, I underwent an autologous ligament graft reconstruction surgery for my anterior cruciate ligament at the end of March this year, and it has just been a little over a month since the procedure. Curr...
Dr. Shi Guozheng Reply:
You can practice increasing the range of motion, but you also need to return to the outpatient clinic for follow-up to check for any abnormalities. It is also advisable to go to the rehabilitation department of the hospital for physical therapy and seek guidance from a physical t...[Read More] Post-ACL Reconstruction: Understanding Anterior Knee Pain and Rehab Tips
Knee Pain When Kneeling: Causes and When to Seek Medical Help
Knee problems Hello, doctor. I started noticing some issues with my knees around middle school. I don't experience any problems while running or jumping, but whenever I kneel, my knees hurt a lot. Even if I kneel gently or on a mat, I can't hold the position for more th...
Dr. Shi Guozheng Reply:
There are many potential causes for anterior knee pain that can be evaluated by an orthopedic specialist, including issues related to the tendons as well as problems with the patella.[Read More] Knee Pain When Kneeling: Causes and When to Seek Medical Help