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 Recovery After Artificial Posterior Cruciate Ligament Surgery
Anterior cruciate ligament reconstruction surgery Hello Doctor: I underwent an anterior cruciate ligament (ACL) reconstruction surgery on July 15 of this year, and it has been nearly three months since the procedure. However, I can only achieve a bending angle of close to 90 degr...
Dr. Shi Guozheng Reply:
Rehabilitation after ligament reconstruction of the knee typically takes about six months to a year, so it is essential to continue with the rehabilitation process.[Read More] Understanding Recovery After Artificial Posterior Cruciate Ligament Surgery
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 Ligament Injuries After a Car Accident: A Patient's Journey
Ligament issues Hello Dr. Chen Yong-Hsueh, I would like to inquire about an injury I sustained in a car accident. I experienced a significant impact, which resulted in an injury to my right knee. The diagnosis at that time was as follows: "According to the diagnostic certifi...
Dr. Chen Yongxue Reply:
Hello, an anterior cruciate ligament (ACL) tear is often difficult to diagnose in the early stages due to swelling in the knee joint. Typically, a definitive diagnosis can only be made after the swelling subsides and a physical examination is conducted. Ultimately, confirmation o...[Read More] Understanding Ligament Injuries After a Car Accident: A Patient's Journey
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 Posterior Cruciate Ligament Injuries: Surgery or Self-Healing?
Tear of the posterior cruciate ligament with associated fracture? A month ago, I fell off my bike due to slippery road conditions while braking. I went to the hospital for X-rays and an MRI. During my follow-up appointment today, the doctor said that I have a piece of bone pulled...
Dr. Shi Guozheng Reply:
If there is a displacement, it is best to undergo surgery, as it is difficult for the joint to heal in its original position afterward. In such cases, the ligaments may become too lax, leading to anterior-posterior instability of the joint without surgery. After the surgery, a re...[Read More] Understanding Posterior Cruciate Ligament Injuries: Surgery or Self-Healing?
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
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 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
Understanding Ligament Injuries: Impact of Delayed MRI on Recovery
Ligament issues I participated in a friendly match on November 25th as part of my school team. While cutting in, I twisted my left knee and fell to the ground. I have a history of anterior cruciate ligament (ACL) tear in my left knee. Since it was a Sunday, there were no orthoped...
Dr. You Dianqi Reply:
Hello: If you have not engaged in any strenuous exercise during this period, which could lead to further injury, then the nearly one-month waiting period should not result in any significant changes. This time allows the injured tissue to experience some reduction in swelling, an...[Read More] Understanding Ligament Injuries: Impact of Delayed MRI on Recovery
Understanding Post-ACL Reconstruction Loosening: Causes and Treatment Options
Postoperative laxity of the posterior cruciate ligament? Hello, doctor. I underwent posterior cruciate ligament reconstruction and meniscus repair surgery at the end of January this year. It has been almost a year, but my muscle strength has not returned, and my passive flexion i...
Dr. Shi Guozheng Reply:
It is possible that it did not heal properly, and a reoperation may be more appropriate. Regenerative therapy cannot tighten the ligaments.[Read More] Understanding Post-ACL Reconstruction Loosening: Causes and Treatment Options
Understanding Persistent Knee Issues After ACL Reconstruction: What You Need to Know
Posterior cruciate ligament (PCL) Hello Doctor: Ten years ago, I fell while riding my bicycle and injured my left knee. I noticed significant movement in my left tibia, and after examination at the hospital, I was diagnosed with a torn posterior cruciate ligament (PCL). It took a...
Dr. Shi Guozheng Reply:
After undergoing ligament reconstruction surgery, insufficient muscle strength in the knee joint may lead to a feeling of instability. Additionally, the tension from the reconstruction may not have fully restored, causing slight displacement of the knee joint. If there are no sym...[Read More] Understanding Persistent Knee Issues After ACL Reconstruction: What You Need to Know
Knee Issues After Car Accident: Understanding Symptoms and Treatment
Knee issues resulting from a car accident? Hello Doctor: Four months ago, I had a car accident that resulted in a contusion of my left knee, which was very swollen. Within a month, I visited the doctor three times, and they diagnosed me with bursitis. I received anti-inflammatory...
Dr. Shi Guozheng Reply:
Swelling of the knee joint after a car accident is typically due to incomplete tissue repair and usually occurs without a fracture. With rehabilitation and heat therapy, recovery is generally expected. If there are concerns about potential internal joint issues, it is advisable t...[Read More] Knee Issues After Car Accident: Understanding Symptoms and Treatment
Knee Pain After Motorcycle Fall: Is It a Cruciate Ligament Injury?
Knee injury from a motorcycle accident? I fell off my motorcycle and landed on my right knee. There is no obvious swelling in the knee, but when I stand and lift my right leg (with the calf vertical to the ground and not exerting force), I experience pain on the outer side of the...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you have an injury to the lateral meniscus and the anterior cruciate ligament. You should undergo an MRI to confirm the diagnosis. Wishing you a speedy recovery.[Read More] Knee Pain After Motorcycle Fall: Is It a Cruciate Ligament Injury?
Understanding Left Knee Injuries: Recovery from Tibial Fracture and ACL Tear
Left posterior knee avulsion fracture of the tibial plateau with posterior cruciate ligament tear? Doctor, my daughter suffered a fracture of the posterior tibial plateau and a rupture of the posterior cruciate ligament due to a car accident. Initially, the fracture was stabilize...
Dr. Li Yongheng Reply:
Hello, your daughter is unable to kneel and has difficulty squatting, which is likely related to the rehabilitation following her surgery a year ago, and is not related to the anterior cruciate ligament (ACL) not being reattached or reconstructed. As long as the knee joint is sta...[Read More] Understanding Left Knee Injuries: Recovery from Tibial Fracture and ACL Tear
Understanding Posterior Cruciate Ligament Reconstruction After Injury
Posterior cruciate ligament reconstruction Hello, doctor. I was in a car accident in mid-May, which caused swelling in my knee. After the swelling subsided over the past two weeks, I went to the hospital for an examination and had an MRI. The doctor said I have a complete tear of...
Dr. Chen Yongxue Reply:
Hello, the knee joint has four ligaments. If three of them are torn, it will be very unstable, particularly with a rupture of the posterior cruciate ligament (PCL), which is usually caused by a bicycle accident where the front of the knee is struck backward. This type of PCL tear...[Read More] Understanding Posterior Cruciate Ligament Reconstruction After Injury