Radius, Orthopedics FAQ

Understanding the Severity of Right Distal Radius Fractures: Surgical Necessity

Distal right radius comminuted fracture issues? Dear Dr. Shih Kuo-Cheng, The patient has already undergone X-ray imaging at another medical facility, which diagnosed a "right distal comminuted radius fracture." However, due to strong objections from the family against ...

Dr. Shi Guozheng Reply:
The best treatment method for a distal radius comminuted fracture is open reduction and internal fixation with bone screws, as this yields the best results. If conservative treatment is chosen instead of surgery, it is likely that surgery will still be necessary in the future, wh...

Will Long-Term Cast Positioning Affect Recovery from Radial Fracture?

Cast immobilization for a radial fracture? Hello doctor, I have a fracture at the elbow of my right radius due to a fall, and my right arm has been in an L-shaped position in a cast for a month. Will my hand be unable to straighten out after recovery due to the prolonged L-shaped...

Dr. Zhan Xian Reply:
Hello, sir. Your issue requires an X-ray interpretation. You can visit our orthopedic outpatient clinic or follow up with the physician who originally treated you.

Understanding Radial Fractures in 11-Year-Olds: Treatment and Risks

Radial fracture in an 11-year-old child? Dear Doctor, An 11-year-old child fell off a bicycle on July 25 and fractured the radius near the wrist. Initial treatment involved closed reduction and casting, with weekly follow-ups. The physician indicated that if there was no displac...

Dr. Li Wenhong Reply:
Hello: 1. To prevent deformities, it is essential to provide stable fixation and protect the growth plates from excessive injury. Pediatric fractures are typically stabilized with percutaneous pins and cast immobilization, which is usually sufficient. Proper anesthesia (general a...

Understanding Distal Radius Fractures: Seeking the Right Treatment Options

Distal radius fracture At the end of June, I accidentally fell and fractured my left radius. I first went to a Far Eastern clinic for treatment, where I had an X-ray taken. The doctor said that surgery was not necessary and that I only needed to use a splint for stabilization. Wh...

Dr. Zhan Xian Reply:
Hello, sir. A distal radius fracture may experience further displacement during the healing process, so regular follow-up is necessary. Whether surgery is needed and which type of plate and screws to use for fixation should be determined based on X-ray results. Please consult wit...

Understanding Recovery and Exercise After Radius Fracture Surgery

Radial fracture Hello Doctor: I underwent surgery for a right radial fracture with plate fixation on June 9 of this year. 1. Is it necessary to remove the plate after one year? 2. How long will it take before I can engage in aerobic exercise? It has been almost two months now, an...

Dr. Chen Bochen Reply:
1. Is it necessary to remove the metal plate after one year? >>> If there are no specific discomforts, it can be monitored and does not necessarily need to be removed. 2. How long until I can do aerobic exercise? Since it has been almost 2 months and my doctor has info...

Recovery Timeline for a 9-Year-Old with a Radius Fracture

Radial fracture in a 9-year-old child? Hello, doctor. Thank you for your clarification and advice. We went to the hospital three weeks after the fracture to have an X-ray taken while wearing a cast. It showed that the fracture at the distal third of the radius is not misaligned a...

Dr. Li Wenhong Reply:
Hello: After the removal of the cast (approximately 6 weeks), you can gradually resume daily activities, including practicing the violin and swimming. However, immediately after the cast is removed, joint mobility may still be limited. Do not push for technique or performance; th...

Understanding Pediatric Greenstick Fractures: Recovery and Follow-Up Care

Radial fracture in a 9-year-old child? Hello, doctor. My child had a radius fracture that was reduced, but after returning to school, the physical education teacher asked him to participate in a relay race. Concerned about potential displacement, we returned for a follow-up and r...

Dr. Li Wenhong Reply:
Hello: If the physician confirms that the reduction is stable after casting and the cast is not loose, it is not necessary to take an X-ray; this is a clinical judgment made by the physician. However, it is common to perform an X-ray during the 2 to 3-week follow-up to ensure the...

Understanding Radius Fractures in 9-Year-Olds: Healing and Recovery

Radial fracture in a 9-year-old child? Hello, the child fell while playing on a snake board and sustained a fracture of the right radius (the exact location is unknown, whether it is in the distal third or referred to as the radial shaft). The physician performed a closed reducti...

Dr. Li Wenhong Reply:
Hello Jesi: The cast can be removed after 6 weeks (1.5 months). For the first three weeks, follow-up X-rays should be taken weekly (or every two weeks) to confirm that the fracture remains in alignment and has not shifted. Therefore, regular follow-up visits are essential. After ...

Post-Operative Concerns After Distal Radius Fracture Surgery

Postoperative Issues Following Distal Radius Fracture Surgery Hello, Doctor. I underwent a remote distal radius fracture surgery on May 9th (initially a comminuted fracture) using self-funded plates and screws along with artificial bone. I had follow-up X-ray examinations on May ...

Dr. Shi Guozheng Reply:
If the fracture in this area is properly reduced and well stabilized through surgery, rehabilitation exercises can begin. These may include flexion and extension of the fingers, as well as dorsal and palmar flexion of the wrist, following the principle of not causing excessive pa...

Can Surgery Restore Dislocated Radius After Delayed Treatment?

Radial bone issues Hello, doctor! I would like to ask about a radial head dislocation. Previously, an X-ray did not reveal it, and timely treatment was not administered, resulting in the radial head remaining dislocated but fixed in place. I am experiencing symptoms such as soren...

Dr. Ye Qingnian Reply:
Dear Mr. Jie: Based on your description, it is difficult to assess the current displacement status. I recommend that you return to the outpatient clinic to discuss with your attending physician the differences and necessity of medication versus surgical treatment, as well as your...

Understanding Distal Radius Fractures: Risks of Arthritis After Surgery

Distal radius comminuted fracture The injury occurred while playing basketball, resulting in a comminuted fracture of the distal radius. Surgical fixation with a plate has been performed. Given the severe damage to the joint surface at the time of injury, is it certain that arthr...

Dr. You Dianqi Reply:
Hello: Medical procedures are rarely described in absolutes. We can only say that there is a possibility of developing post-traumatic arthritis, but whether the risk is high or low depends on the severity of your injury at the time, the extent of rehabilitation after surgery, the...

Understanding Distal Radius Fractures: Recovery and Rehabilitation Insights

Distal radius fracture Hello, Doctor. I slipped and fell on May 28 of this year, resulting in a distal radius fracture in my left hand. I have been undergoing conservative treatment and only wearing a splint. I regularly consume tea, coffee, milk, and calcium supplements. I had f...

Dr. You Dianqi Reply:
Hello, the general guideline for when a physician allows you to remove the protective brace is when you can start engaging in some light range of motion exercises. Additionally, since you are undergoing conservative treatment, it is normal for the rehabilitation timeline to be sl...

Rehabilitation After Distal Radius Fracture: When to Start?

Fracture rehabilitation Hello, Doctor. I slipped and fell on May 28, resulting in a distal radius fracture in my left hand. I did not require surgery and have been undergoing conservative treatment with a splint and sling. I had follow-up X-rays on June 16 and July 14, and there ...

Dr. Li Yongheng Reply:
Hello: It has been nearly two months since the distal radius fracture in your left hand on May 28. Currently, you are experiencing weakness in your hand, and movement is not smooth. Your palm is also swollen, making it difficult to make a fist. Therefore, you should visit the reh...

Understanding Wrist Discomfort After Radius Fracture Surgery

Radial fracture Hello doctor, I had a car accident previously that resulted in a fracture of the right radius (near the wrist). The doctor placed a plate for stabilization, and later I had surgery to remove the plate. However, I am experiencing discomfort in my wrist. What could ...

Dr. You Dianqi Reply:
Hello: There could be many possible reasons for your pain. I would like to know the severity of your pain on a scale of 1 to 10. Additionally, if you could provide some imaging and allow for a physical examination during the clinic visit, I may be able to offer you more accurate ...

Do I Need Bone Graft After Removing Plate from Distal Radius Fracture?

After the removal of the plate for a distal radius fracture in the left hand, is it necessary to use bone graft to fill the gaps left by the screws? Hello Doctor: I had a distal radius fracture in my left hand last June, and I underwent surgery to have a plate inserted. I am now ...

Dr. Chen Yongxue Reply:
Hello, after the removal of the metal plate, there will be screw holes left in the bone. Generally, you should be cautious for three months to avoid injury or putting weight on it. Typically, the screw holes will heal on their own, and there is no need for further implants. Thank...

Concerns About Steel Pins in Orthopedic Surgery: When to Seek Help?

Nail issues Hello, I have a comminuted fracture of the proximal radius in my right arm, and I had three metal pins inserted. However, I have been experiencing inflammation, bleeding, and swelling recently (I have returned for follow-up). I noticed that one of the pins seems to be...

Dr. You Dianqi Reply:
Hello Mei Mei: Based on your description, it seems that you had a fracture of the radius and that three K-wires were inserted. The doctor left the wires exposed externally for easier removal in the outpatient setting later on. It appears that they may have gradually migrated into...

Post-Removal Recovery: Understanding Numbness After Radius Fracture Surgery

Left radial fracture after removal of the metal pin? I am a young woman who had a car accident last year, which resulted in the placement of steel pins and plates. After a year and a half, I decided to have them removed. However, it has been two weeks since the removal, and my th...

Dr. Shi Guozheng Reply:
The current condition is relatively normal. After the wrist fracture surgery, there are times when the skin feels numb, which is due to the superficial nerves in the skin being stretched. Most of the time, this will recover after a period, so it can be monitored.

Understanding Delayed Recovery in Distal Radius Fractures: Key Insights

Distal radius fracture Hello, doctor. I am the inquirer regarding issue 138880. First, I would like to thank you for your previous response. It has been six weeks since my fracture, and during my last follow-up appointment, my attending physician mentioned that my bone healing is...

Dr. Shi Guozheng Reply:
1. A normal diet and routine are sufficient. 2. A splint is used to maintain the current position of the fracture and prevent displacement. Bone healing takes time, so a postponed appointment may be necessary to assess whether the bone continues to grow. 3. Soreness is normal...

Understanding Infections in Distal Radius Fracture Fixation

Distal radius comminuted fracture Hello doctor, I would like to ask about a previous inquiry regarding a screw at the fracture site, which has a bent section protruding through the skin. The wound has suddenly started to become purulent, and there is some discharge during each dr...

Dr. Li Yongheng Reply:
If there is suppuration, it may be related to disinfection and dressing changes. It is recommended that you return to the outpatient clinic, as it may be necessary to remove the infected bone screw earlier.

Recovery Timeline for Radial and Ulnar Fractures: When to Resume Intense Training

Radial and ulnar fractures Hello Doctor, I fractured my right radius and ulna on May 16, 2018, and underwent surgery on May 18, where two plates and twelve screws were inserted. 1. During my follow-up on September 5, I was informed that the bones have fully healed. I would like t...

Dr. Shi Guozheng Reply:
1. It can take six months. 2. If the fracture has completely healed well, then it is permissible.

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