Understanding PCL Avulsion Fractures: Healing Status After Six Months
PCL avulsion fracture (six months duration) Hello Doctor: I had a car accident last November and was diagnosed with a PCL avulsion fracture. At that time, I did not undergo surgery and was only immobilized for two months. It has now been six months, and my orthopedic doctor arran...
Dr. Chen Yongxue Reply:
Hello, according to the MRI report you provided, the posterior cruciate ligament has not yet healed (which is actually to be expected). As for the treatment you should pursue, it depends on your daily activities: if you are an active person who enjoys sports, especially those tha...[Read More] Understanding PCL Avulsion Fractures: Healing Status After Six Months
Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery
Posterior cruciate ligament (PCL) tear? Recently, I had a motorcycle accident and my knee and calf are swollen and painful. I went to an orthopedic doctor and had an MRI done. Doctor, could you tell me if this is serious? Here are the findings: Examination: Non-contrast MRI of ...
Dr. Shi Guozheng Reply:
A posterior cruciate ligament (PCL) tear occurs when the ligament is torn along with the bone at the back of the tibia, resulting in a type of avulsion fracture. This can be treated surgically using bone screws to reattach the ligament. It is advisable to consult with a physician...[Read More] Understanding Posterior Cruciate Ligament Injuries: Symptoms and Recovery
Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Cyst after anterior cruciate ligament reconstruction? Hello, Doctor. Last November, after school, I had an accident while riding my electric scooter and slipped on construction sand. At that time, my backpack was heavy, and I was carrying other items. I realized I was going to fa...
Dr. Chen Yongxue Reply:
Hello, PVNS is actually quite rare. To confirm the diagnosis, it is essential to rely on the pathology report. PVNS should exhibit specific characteristics in MRI imaging and arthroscopic examination, especially during arthroscopy, where very distinctive colors are observed, maki...[Read More] Understanding Post-ACL Reconstruction Cysts: Symptoms, Diagnosis, and Recovery
Understanding MRI Reports: Insights on PCL Injury and Reconstruction
Can you help interpret an MRI report? Right knee MRI consisted of multiplanar T1 and T2 weighted images with multiple sequences showing: > PCL injury, status post PCL reconstruction. > Ligamentous edema of the PCL is noted. > Fluid collection within the knee joint. > ...
Dr. Shi Guozheng Reply:
The MRI results indicate a rupture of the posterior cruciate ligament in the right knee, with edema present in the posterior cruciate ligament following reconstruction surgery.[Read More] Understanding MRI Reports: Insights on PCL Injury and Reconstruction
Understanding MRI and Ultrasound Reports for Knee Injuries
MRI Report and Musculoskeletal Ultrasound Report Hello, Doctor! Below are my MRI and musculoskeletal ultrasound reports. I would like to ask if there are any other issues that require treatment besides the medial collateral ligament (MCL) tear. Note: I am currently undergoing PRP...
Dr. Zhan Xian Reply:
Hello, the report primarily indicates a partial tear of the medial collateral ligament of the left knee and a distal femoral avulsion fracture. Due to the lack of imaging and physical examination, the stability cannot be assessed, and follow-up evaluation in an outpatient setting...[Read More] Understanding MRI and Ultrasound Reports for Knee Injuries
Understanding Knee Injury Treatments: Surgery vs. Alternative Options
Treatment methods for knee injuries? Four months ago, after exercising, I suddenly found it difficult to squat down the next day. My right knee was somewhat swollen but not painful. A few days later, I visited an orthopedic doctor who drained the excess fluid. After the drainage,...
Dr. Shi Guozheng Reply:
The MRI report did not indicate a meniscus tear, so conservative treatment can be considered. If there is no improvement, we can reassess the situation later.[Read More] Understanding Knee Injury Treatments: Surgery vs. Alternative Options
Understanding Posterior Cruciate Ligament Injuries: Treatment Options and Recovery
Posterior cruciate ligament (PCL) Hello Doctor, I was in a car accident at the end of March and suffered an open comminuted fracture of my lower leg. After the swelling subsided post-surgery, I noticed a significant indentation in my lower leg when bending my knee. The doctor ass...
Dr. Shi Guozheng Reply:
A complete tear of the posterior cruciate ligament (PCL) cannot heal on its own. Strengthening exercises can help reduce some instability, but surgical intervention is often necessary and should be evaluated by a physician.[Read More] Understanding Posterior Cruciate Ligament Injuries: Treatment Options and Recovery
Knee Effusion: Understanding Symptoms, Diagnosis, and Treatment Options
Knee effusion I got up from the bathtub and heard a pop in my knee, which immediately caused pain and swelling. I went to see a rehabilitation specialist and had an ultrasound, which indicated knee effusion. Despite ongoing rehabilitation treatment, there has been no improvement;...
Dr. You Dianqi Reply:
Hello, it is advisable to visit the orthopedic outpatient clinic for evaluation. Thank you.[Read More] Knee Effusion: Understanding Symptoms, Diagnosis, and Treatment Options
Exploring the Connection Between Knee Injuries and Scoliosis
The relationship between knee injuries and scoliosis? Hello Doctor: I was in a car accident three months ago, and my left knee directly hit the ground. Since then, whether I am walking or sitting, I often feel a tingling sensation in my knee, similar to water splashing on my foot...
Dr. Chen Yongxue Reply:
Hello, could the numbness and pain in the knee be related to scoliosis? While scoliosis does not typically compress a single nerve, if the curvature is significant, it is recommended to consider surgical treatment after the age of 18.[Read More] Exploring the Connection Between Knee Injuries and Scoliosis
Understanding Your Right Knee MRI Report: Key Findings Explained
Could you help interpret the MRI report? MRI of the right knee without IV contrast showed: - Right PCL: Status post reconstruction of the right PCL. - Right medial meniscus: Intrameniscal tear of the right medial meniscus. - Right LCL: Fluid collection along the right later...
Dr. Shi Guozheng Reply:
The status after right knee posterior cruciate ligament reconstruction requires follow-up with a clinical physician for further evaluation.[Read More] Understanding Your Right Knee MRI Report: Key Findings Explained
Understanding Meniscus Tears and Patellar Ligament Injuries in Knee MRI
Meniscus and patellar ligament? 1. MRI of the left knee without contrast enhancement shows: 1. No definite bony fracture. 2. Increased signal at the medial patellofemoral ligament (se/im: 3/6-8). 3. Increased signal at the lateral patellofemoral ligament (se/im: 3/5-1...
Dr. Shi Guozheng Reply:
The medial meniscus of the left knee joint is torn, and it is necessary to consult an orthopedic surgeon to review the imaging and determine whether arthroscopic surgery is needed.[Read More] Understanding Meniscus Tears and Patellar Ligament Injuries in Knee MRI
Understanding Meniscus Tears and ACL Reconstruction: What You Need to Know
Questions regarding the meniscus and posterior cruciate ligament? Hello Doctor: About ten years ago, I had a car accident that resulted in a fracture of the patella in my right knee. It wasn't until last year, after I twisted my knee while playing basketball and underwent an...
Dr. Shi Guozheng Reply:
If the meniscus does not cause the joint to lock, surgery for ligament reconstruction may not be necessary. You can consult with a sports medicine specialist at a medical center to inquire about the current surgical techniques and their effectiveness. It would be clearer to ask t...[Read More] Understanding Meniscus Tears and ACL Reconstruction: What You Need to Know
Assessing Posterior Cruciate Ligament Injury: Key Questions for Your Doctor
Posterior cruciate ligament examination inquiry? Hello, Doctor. I would like to inquire about my consultation. I informed the doctor about the pain location and my inability to fully extend or bend my leg, but the examination only indicated a sprain of the inner ligaments. Based ...
Dr. You Dianqi Reply:
Hello: Taiwan is a democratic and free country. If you truly want to hear from other physicians, please go ahead and do so. Otherwise, asking me for an opinion online without having undergone a detailed consultation and psychological assessment by a physician raises concerns abou...[Read More] Assessing Posterior Cruciate Ligament Injury: Key Questions for Your Doctor
Understanding Posterior Cruciate Ligament Reconstruction Surgery
Posterior cruciate ligament reconstruction surgery? Hello, due to a car accident in early March, I only discovered the bone issues a month later. Now, at the end of May, I had an MRI, and the doctor said my posterior cruciate ligament (PCL) did not show up, which suggests it may ...
Dr. Chen Bochen Reply:
1. First, consult a rehabilitation physician to arrange rehabilitation for the injured area. Strengthening the quadriceps is essential to compensate for the deficiency of the posterior cruciate ligament. 2. Commit to rehabilitation for at least three months; if discomfort persist...[Read More] Understanding Posterior Cruciate Ligament Reconstruction Surgery
Understanding Posterior Cruciate Ligament Tears: To Operate or Not?
Posterior cruciate ligament (PCL) tear? Hello Doctor: After a car accident on November 24, I experienced instability in my knee joint. In December, I visited an orthopedic specialist who diagnosed me with a torn posterior cruciate ligament (PCL). After further examination at the ...
Dr. Shi Guozheng Reply:
It is advisable to follow the physician's recommendations, or you may consider consulting another sports medicine department at a different medical center for a second opinion.[Read More] Understanding Posterior Cruciate Ligament Tears: To Operate or Not?
Managing Complex Knee Issues After ACL Reconstruction: Pain and Solutions
How to address complex knee issues? Hello, doctor. I underwent a posterior cruciate ligament (PCL) reconstruction surgery last October, which was my second reconstruction. The first surgery resulted in ligament laxity after a year, leading to the need for a second operation. Init...
Dr. Chen Bochen Reply:
Hello, your issue is indeed complex and requires a meticulous and skilled physician along with a good rehabilitation team to assist you long-term. I recommend you consult with Dr. Luo Jian-Sheng, the orthopedic specialist at Chung Shan Medical University Hospital. He is an expert...[Read More] Managing Complex Knee Issues After ACL Reconstruction: Pain and Solutions
Post-ACL Surgery: Understanding and Managing Patellar Tightness
Post-operative tightness of the patella after posterior cruciate ligament surgery? Hello Dr. Lee, I had an accident while riding my bike in April this year, which resulted in a torn posterior cruciate ligament (PCL). I underwent PCL reconstruction surgery in July, during which th...
Dr. Li Wenhong Reply:
Hello, please be patient and continue rehabilitation for at least six months, with regular follow-up visits to discuss with your attending physician. If muscle strength has not yet recovered, it is advisable to reduce the amount of exercise, but you can still run. If you experien...[Read More] Post-ACL Surgery: Understanding and Managing Patellar Tightness
Post-ACL Surgery: When Can I Stop Using Crutches?
What are the issues related to crutches after surgery for a torn posterior cruciate ligament? I had two metal screws inserted, and my attending physician told me that it was a posterior cruciate ligament (PCL) laxity, but the paperwork states that it is a posterior cruciate ligam...
Dr. Shi Guozheng Reply:
Typically, bones or ligaments heal after six weeks.[Read More] Post-ACL Surgery: When Can I Stop Using Crutches?
Understanding PCL Tears: Treatment Timelines and Surgical Options After an Accident
Suspected posterior cruciate ligament tear after a car accident? Hello, I was involved in a car accident on October 31 (Thursday), and the emergency physician suspected a possible posterior cruciate ligament (PCL) tear. On November 1 (Friday), I visited the orthopedic outpatient ...
Dr. Li Yongheng Reply:
Hello: 1. A torn cruciate ligament does not necessarily lead to limping or mobility issues if treated within a few weeks after the injury. 2. Typically, the report can be reviewed 1-2 weeks after the examination. 3. The need for surgery for a ligament tear depends on its severity...[Read More] Understanding PCL Tears: Treatment Timelines and Surgical Options After an Accident
Understanding Revision Surgery for Posterior Cruciate Ligament Reconstruction
Reconstruction of the posterior cruciate ligament? Hello Doctor: I underwent a posterior cruciate ligament (PCL) reconstruction in January of last year. Due to various factors, the ligament has become lax. During my recent follow-up, the doctor suggested that I undergo another re...
Dr. Li Yongheng Reply:
Hello, 1. The recovery period for artificial ligaments is relatively fast, but they must be paid for out of pocket, and there are concerns regarding their lifespan due to wear and tear. 2. Technically, it is possible to overcome this by not having to remove the original screws fi...[Read More] Understanding Revision Surgery for Posterior Cruciate Ligament Reconstruction