Post-Surgery Limitations in Arm Rotation After Distal Ulnar Fracture
Unable to perform arm rotation after distal ulnar fracture surgery? Hello Dr. Chen, I had a car accident on July 28 that resulted in a distal ulnar fracture (the prominent bone on the arm). After surgery, a steel plate was used for fixation, but it was noted that the ulnar appe...
Dr. Chen Yongxue Reply:
Hello, whether it is a distal radioulnar joint dislocation, TFCC injury, or ulnar nonunion (including nonunion of fractures or malunion), any of these conditions can lead to limitations in pronation and supination (the palm facing up and down). Please visit the orthopedic clinic ...[Read More] Post-Surgery Limitations in Arm Rotation After Distal Ulnar Fracture
Understanding Wrist and Forearm Issues: Surgery, Healing, and Recovery
Wrist issues involving the radius and ulna? Hello, doctor. I am the inquirer from the previous issue 138823. Today, I consulted another physician who mentioned that my radius is displaced by about 1mm, and the height difference between the radius and ulna at the wrist joint is le...
Dr. Shi Guozheng Reply:
1. Reasonable 2. Minimal impact 3. This is considered normal; it may not dislocate again. 4. No 5. It is advisable to start exercising the joint earlier for better recovery.[Read More] Understanding Wrist and Forearm Issues: Surgery, Healing, and Recovery
Understanding Distal Radius Fractures: Symptoms, Healing, and Care Tips
Distal radius comminuted fracture Hello, I would like to ask about a comminuted fracture of the distal radius. My palm has no sensation, but it is not cold or pale. What could be the issue? Is this considered normal, or will doing more hand exercises help improve it? Additionally...
Dr. Li Yongheng Reply:
1. If there is no sensation in the palm, it may indicate median nerve injury, and a nerve conduction study should be performed. 2. If the scab keeps cracking, it may be related to hand activity; there should be no significant issues after the removal of the bone screws in the fut...[Read More] Understanding Distal Radius Fractures: Symptoms, Healing, and Care Tips
Understanding Distal Radius Fractures: Surgery, Recovery, and Concerns
Distal radius fracture Hello, doctor. I am the patient who inquired a few days ago. Yesterday, I visited another physician, and after an X-ray, he informed me that my fracture has shifted approximately 1mm towards the palm side. He also noted that my radius is almost at the same ...
Dr. Li Yongheng Reply:
Hello: 1. The recommendation to avoid surgery is reasonable. 2. I cannot specify how much functional loss will occur without surgery, as it depends on the subsequent rehabilitation process. 3. Will there be side effects on the wrist? If there are, they should not be severe. 4. Wi...[Read More] Understanding Distal Radius Fractures: Surgery, Recovery, and Concerns
Understanding Triangular Fibrocartilage Complex Injury After a Car Accident
Triangular fibrocartilage complex (TFCC) injury? Hello, doctor. I was involved in a car accident on June 18 and subsequently visited an orthopedic department at a regional hospital and an orthopedic clinic, where I continued to take medication and follow up. My wrist has been ver...
Dr. You Dianqi Reply:
Dear Mr. Lee, Hello. Based on your description, I would like to ask you about a specific part: When you mentioned the prominence on the radial side, are you certain it is on the radial side, or could it be on the ulnar side? Generally, symptoms of a triangular fibrocartilage com...[Read More] Understanding Triangular Fibrocartilage Complex Injury After a Car Accident
Understanding Distal Radius Fractures: Recovery and Treatment Insights
Radial bone issues I would like to ask about my situation. In late July, I fell and fractured my wrist. After taking X-rays, the doctor put my wrist in a cast without performing any reduction or suggesting surgery, stating that I could remove the cast after four weeks. However, t...
Dr. Li Yongheng Reply:
Hello, based on your symptom description, although the bone has shifted slightly, it should still be within an acceptable range, which is why your treating physician mentioned it is not a concern. As you are planning to travel abroad soon, just be cautious to avoid any impacts, a...[Read More] Understanding Distal Radius Fractures: Recovery and Treatment Insights
Understanding Elbow Fractures: Recovery, Nerve Issues, and Surgical Decisions
Radial, ulnar, and olecranon fractures? Hello Doctor: In March of this year, I was involved in a car accident that resulted in a closed, comminuted fracture of the right elbow, ulna, and radius. Both the ulna and radius were completely broken into several pieces. I have surgical ...
Dr. Shi Guozheng Reply:
It is better to remove the bone screws one year after surgery, and finding another physician can also facilitate recovery in approximately 6 to 12 months.[Read More] Understanding Elbow Fractures: Recovery, Nerve Issues, and Surgical Decisions
Understanding Radial Head Fractures: Surgical vs. Non-Surgical Options
Closed fracture of the proximal radius? Hello, as per our previous discussion, I have sent the X-ray to [email protected]. The car accident resulted in a closed fracture of the upper end of the left radius, and the X-ray shows a small fragment of bone in the joint. The doct...
Dr. Shi Guozheng Reply:
The X-ray shows a radial head fracture with involvement of the articular surface and slight displacement. It is generally better to achieve a smooth articular surface, so surgical intervention for fracture reduction and fixation may be considered.[Read More] Understanding Radial Head Fractures: Surgical vs. Non-Surgical Options
Understanding Radial Head Fractures: Surgical vs. Non-Surgical Options
Closed fracture of the proximal radius? Hello, I have a closed fracture of the upper end of the left radius due to a car accident. An X-ray shows a small fragment of bone in the joint, and the doctor mentioned that surgery or non-surgery options are both possible for my situation...
Dr. Shi Guozheng Reply:
Please provide the X-ray images for evaluation.[Read More] Understanding Radial Head Fractures: Surgical vs. Non-Surgical Options
Understanding Bone Friction and Pain After Wrist Fracture Surgery
Bone friction and pain upon exposure to cold? It has been a year and a half since I suffered a distal radius fracture, and the titanium alloy plate and screws inside have not yet been removed. I often feel a friction sensation at the protruding area of the bone when I rotate my p...
Dr. Li Wenhong Reply:
Hello: If discomfort occurs only during the transition between hot and cold weather, physical therapy (such as heat therapy) may be sufficient. However, if there is a persistent foreign body sensation and inflammation and pain in the tendons around the wrist due to friction, a fo...[Read More] Understanding Bone Friction and Pain After Wrist Fracture Surgery
Should You Remove a Bone Plate After Healing? Key Considerations
Does the plate need to be removed? In late April of last year, I fell while playing basketball and my hand was crushed, resulting in a comminuted fracture of the left radius and dislocation of the left wrist. The doctor performed an internal fixation surgery using a plate for the...
Dr. Hong Ximing Reply:
Hello: In the case of a comminuted fracture of the radius, if surgical reduction and plate fixation have been performed and the fracture has healed for over a year without any discomfort, there is generally no need to remove the plate. However, if there is any discomfort, you may...[Read More] Should You Remove a Bone Plate After Healing? Key Considerations
Post-Fracture Surgery: When to Remove Pins and Assess Healing
Removal of metal screws after fracture surgery? Hello Dr. Lee, I fell at the end of 2016 and sustained a comminuted fracture of the right radius, after which I had steel nails and plates inserted. At that time, the doctor mentioned that if healing did not go well, I might need to...
Dr. Li Yongheng Reply:
Hello, you have a comminuted fracture of the right distal radius. Even if the fracture has not completely healed post-surgery, wrist arthroplasty is typically not performed, and currently, wrist arthroplasty is not common. Therefore, I recommend that you seek another larger hospi...[Read More] Post-Fracture Surgery: When to Remove Pins and Assess Healing
Understanding Risks of Removing Steel Plates and Screws After Wrist Fracture
Concerns Regarding the Removal of Plates and Screws for Distal Radius Fracture in the Left Hand? Hello Doctor, I had a motorcycle accident the day before yesterday that resulted in a distal radius fracture in my left arm. After the surgery, a plate and screws were inserted (out-o...
Dr. Li Yongheng Reply:
Hello, based on your condition, you have a distal radius fracture in your left hand, and after surgery, a self-funded plate and screws were inserted. Generally, if there are no specific discomforts, the plate and screws usually do not need to be removed. If you decide to have the...[Read More] Understanding Risks of Removing Steel Plates and Screws After Wrist Fracture
Do I Need to Remove My Mother's Radial Bone Plate After Surgery?
Radial bone issues Hello Doctor, my mother is nearly 60 years old. Last year, she underwent treatment for a fracture of the left radius. The surgeon recommended two types of fixation plates (one covered by insurance and one out-of-pocket). We chose the out-of-pocket fixation plat...
Dr. Shi Guozheng Reply:
The question of whether to remove the steel plate after surgery for a radius fracture is often asked. The principle is that if it does not affect hand function and there is no discomfort, the plate and screws can remain in place. Sometimes, there may be issues with tendons gettin...[Read More] Do I Need to Remove My Mother's Radial Bone Plate After Surgery?
Understanding Recovery from Distal Radius Fracture: Key Questions Answered
Inquiry about distal radius fracture of the left wrist? Hello Doctor: I previously sustained injuries from a car accident resulting in a comminuted distal radius fracture with displacement and an ulnar styloid fracture. I underwent surgery for fracture reduction (using a titanium...
Dr. Shi Guozheng Reply:
1. It is necessary to continue with rehabilitation exercises. 2. Pain is normal, and the intensity can be increased, but it should not be excessive. 3. Taking calcium supplements does not seem to be very helpful. 4. It will take at least a year.[Read More] Understanding Recovery from Distal Radius Fracture: Key Questions Answered
Managing a Distal Radius Fracture: Tips for Recovery and Care
Right wrist radial fracture? I sustained a right wrist radius fracture due to a fall on February 23, 2018. I underwent manual reduction in the emergency room and was treated with a long arm cast without surgical intervention. During a follow-up appointment on February 26, the doc...
Dr. Li Yongheng Reply:
Hello, you have a right wrist radial fracture that has been immobilized with a long cast. It is important to minimize movement of the shoulder, elbow, and wrist, but you should still move your fingers. When lying down or sleeping, you do not need to use a sling; just rest your ar...[Read More] Managing a Distal Radius Fracture: Tips for Recovery and Care
Post-Fracture Recovery: Key Questions After Wrist Surgery
Post-fracture surgery Hello, doctor. I had a car accident on February 7th and sustained a fracture of the radius near the wrist. The following day, on February 8th, I underwent surgery to implant a steel pin. My attending physician reviewed the X-rays and said the surgery was ver...
Dr. Shi Guozheng Reply:
1. If the implanted steel pins are well-fixed, rehabilitation can begin the day after surgery. 2. If the fracture surgery is well-aligned, the likelihood of developing post-traumatic arthritis will be lower, and there will be less pain in the future. 3. There is no need to us...[Read More] Post-Fracture Recovery: Key Questions After Wrist Surgery
Understanding Complications After Distal Radius Fractures: Pain in Shoulder and Back
Distal radius fracture sequelae Hello Dr. Shi, thank you for your response. I am the one who inquired about the distal radius fracture in my right hand on February 13. You mentioned that typically, bone screws are not removed and do not affect function. In the absence of any func...
Dr. Shi Guozheng Reply:
Pain in the right shoulder and right upper back may be related to a contusion or strain, as well as a fracture near the right wrist. Additionally, using a sling can affect the tendons or nerves in the right shoulder or back, potentially leading to impaired movement.[Read More] Understanding Complications After Distal Radius Fractures: Pain in Shoulder and Back
Understanding Post-Fracture Pain: Right Wrist Injury and Shoulder Issues
Distal radius fracture of the right hand? Hello, Doctor. I would like to ask you the following: I suffered a distal radius fracture in my right wrist due to a car accident a year and a half ago. I underwent surgery and had titanium metal fixation, which has not been removed. Howe...
Dr. Shi Guozheng Reply:
Bone screws typically do not need to be removed as they do not affect function. However, if it can be determined that the bone screw is causing an issue, then it should be removed.[Read More] Understanding Post-Fracture Pain: Right Wrist Injury and Shoulder Issues
Can I Do Push-Ups After a Left Wrist Radius Fracture Surgery?
Fracture of the distal radius in the left wrist? Hello, doctor. I have a question. It's been over three months since I had surgery for a fracture of the radius in my left wrist. Can I do push-ups now? Also, is it normal that my little finger still feels a bit numb?
Dr. Xie Hongjia Reply:
Hello: Regarding the tingling sensation you mentioned, it is difficult to assess the extent of the injury without further evaluation. The degree of recovery from push-ups will depend on the growth of the bones. It is recommended that you follow up at a hospital. The Hualien Hospi...[Read More] Can I Do Push-Ups After a Left Wrist Radius Fracture Surgery?