Radius, Orthopedics FAQ

Managing Recurrent Wrist Dislocations: Expert Insights and Solutions

I would like to ask the director a question regarding the issue of recurrent wrist dislocations? Hello, Director Shi. I sustained a wrist injury four years ago, resulting in a distal radioulnar joint (DRUJ) dislocation. Despite undergoing multiple ligament reconstruction surgerie...

Dr. Shi Guozheng Reply:
Wearing a wrist brace can help reduce wrist movement; however, the decision regarding fusion surgery must be discussed with your attending physician, who will make an individualized assessment based on your specific condition.

Post-Surgery Wrist Stiffness After Radius Fracture: Concerns and Recovery

Postoperative joint stiffness following a right radial fracture? I am currently two months and three weeks post-surgery for a fracture. I have been undergoing rehabilitation at the hospital for over a month. During my follow-up appointment, the orthopedic surgeon examined my bone...

Dr. Shi Guozheng Reply:
If a distal radius fracture is closer to the joint, the range of motion will be reduced, and rehabilitation must be done gradually to restore rotational movements without applying too much force. The fracture typically heals in about three months, but joint rehabilitation activit...

Understanding Radial Fractures: Joint Replacement and Recovery Tips

Right radial bone fracture with artificial joint replacement? Hello, Director Shi. I sustained an injury while playing basketball, resulting in a comminuted fracture of the right radius and the need for a joint replacement. It has been three weeks since my surgery. I would like t...

Dr. Shi Guozheng Reply:
Are you referring to the artificial joint as the prosthetic radial head in the elbow joint? In that case, it is advisable to avoid intense physical activities, as prolonged use may lead to wear and tear. However, daily activities should generally not pose any issues.

Dealing with Painful Bone Growth in the Wrist: Is Surgery Necessary?

On Thursday, I went to the hospital for an ultrasound on my right wrist. The orthopedic doctor said that a small bone is protruding, which may cause sharp pain? Due to the situation described, I have been experiencing severe pain after drawing several AutoCAD diagrams using 3D Ma...

Dr. Shi Guozheng Reply:
Surgery is not necessary; rehabilitation and medication treatment can usually lead to improvement.

Understanding Distal Radius Fractures: Healing and Concerns

Distal radius fracture I sustained a distal radius fracture about three weeks ago and have been in a cast since then. The doctor mentioned it may take a few more weeks to heal gradually. Yesterday, while moving my fingers, I heard a grinding sound in my wrist, but there is no pai...

Dr. Shi Guozheng Reply:
A radial fracture typically takes about eight to twelve weeks to heal. If there is a grinding sound but no pain, it is generally not a concern.

Post-Surgery Care for Fractures: Key Questions Answered

Post-surgery after a fracture? My sister was in a car accident and has a fracture of 2/3 of her right clavicle (anterior). She is using a health insurance-covered plate to stabilize a fracture of her left radius (near the wrist) and has a self-paid LDRPS/P plastic splint on her l...

Dr. Li Yongheng Reply:
1. There is no need to remove the protective gear while sleeping. 2. The health insurance-covered plate used for the clavicle should have the same effect as the out-of-pocket plate. 3. A fracture typically shows initial healing in about three months and can fully heal within ...

Can You Play Basketball After Wrist Surgery with Metal Plates?

Issues with steel nails and steel plates? Hello Doctor: I suffered a distal radius fracture in my right arm due to a car accident a month ago, and I have had a steel plate implanted. I would like to ask if, after the bone heals, I can engage in activities like playing basketball ...

Dr. Shi Guozheng Reply:
Once the bone has completely healed, you can resume physical activity; however, it is important to remain cautious to avoid re-fracturing.

Understanding Wrist Fusion Surgery: What to Expect and Limitations

Hello, Director. I would like to inquire about issues related to arthrodesis? Hello, Director Shi. Three years ago, I suffered a wrist injury involving the distal radioulnar joint, which has resulted in chronic dislocation and pain. X-rays show that the ulnar bone is dislocated a...

Dr. Shi Guozheng Reply:
There is a slight limitation in external rotation and internal rotation (pronation and supination). The rotation of the wrist is not solely dependent on the wrist itself; the elbow is also involved. Therefore, the radius and ulna can still achieve some minor rotation at the wrist...

Should I Remove My Steel Pin After a Distal Radius Fracture?

Distal radius fracture I had a right radial fracture and had a steel nail implanted 9 months ago. During the surgery, the doctor said it wouldn't need to be removed in the future, but less than six months later, they suggested that it should be taken out. The rehabilitation ...

Dr. Wang Shouji Reply:
Hello: Given your age, it is acceptable to either remove or leave the radial plate in place if it is causing irritation, as long as you have normal strength in the active range of motion. Thank you!

Rehabilitation for Left Wrist Radius Fracture: Home Care or Hospital Visits?

Rehabilitation for Left Radial Fracture Rehabilitation for a left radius fracture: Doctor, can I do this at home by myself, or do I need to report to the hospital every day? Currently, my wrist is able to move, but my elbow is at a 95-degree angle. Is it okay to remove the splint...

Dr. Shi Guozheng Reply:
I suggest you first go to the hospital for a few sessions, and then follow up at home. Start with heat therapy, and gradually move your wrist joint. Removing the splint will help improve wrist mobility. Begin with up-and-down movements, then progress to inward and outward bending...

Recovery Tips for Distal Radius Fracture: When to Start Rehab?

Left radial fracture? About a month ago, I sustained an injury that resulted in a fracture of the left radius. At that time, the doctor mentioned that young people do not need surgery and that the bone can heal on its own. Recently, during a follow-up appointment, the doctor sugg...

Dr. Shi Guozheng Reply:
A radius fracture typically heals in about two months. Usually, after the fracture, there will be limited mobility at the joint. Once the splint is removed, wrist flexion exercises should begin (around one and a half months post-injury). It is advisable to attend physical therapy...

Should You Remove Your Wrist Plate? Risks and Alternatives Explained

Removal of radial steel plate and screws? Three years ago, I suffered a fracture of the left radius due to a car accident. Now, when lifting heavy objects, I experience discomfort in my wrist, as if the tendons are being compressed and causing pain. Is it advisable to remove the ...

Dr. Shi Guozheng Reply:
If the bone screw is already encased by bone, it may be difficult to remove. If removal is necessary, the bone may need to be drilled away, which could potentially cause a fracture during the procedure. If the removal is successful, there shouldn't be significant issues. If ...

Understanding Numbness After Distal Radius Fracture Surgery: What to Expect

Distal radius fracture of the right hand? Hello, doctor. I had surgery on April 5th for a fracture of the right radius due to a car accident. However, since the surgery, my right fingers have been persistently numb. I consulted with my doctor, who said this is normal. I would lik...

Dr. Ye Qingnian Reply:
Surgical treatment for a distal radius fracture may result in postoperative finger numbness, which could be due to traction on the median nerve during the procedure. If it is solely due to traction on the median nerve, it should gradually improve over time.

Improving Grip Strength and Wrist Mobility After Distal Radius Fracture

Distal radius fracture of the right hand with inability to supinate? Hello Doctor: It has been 15 days since the incident and 6 days since the surgery. I have some concerns regarding rehabilitation, as I am worried about potential muscle contractures in the future. 1. Currently...

Dr. Shi Guozheng Reply:
You can perform wrist movements such as making a fist and extending the hand as long as there is no pain. It is also acceptable to do flexion and extension of the wrist.

How to Determine Blood Flow in Poorly Healed Fractures?

Poor fracture healing "How can we determine if blood circulation is present after a fracture has been surgically repaired?" I fell while hiking on October 3, 2014, resulting in a fracture of my left radius with displacement. I underwent surgery to fixate the fracture wi...

Dr. Shi Guozheng Reply:
The healing of a fracture needs to be confirmed through X-rays rather than by checking whether blood flow is present. Even if blood flow is restored, it does not guarantee that the fracture will heal. For non-union fractures, reoperation and bone grafting is the appropriate cours...

How to Remove Surgical Pins After Radius Fracture Recovery?

I would like to know how to remove the recovery period steel pins? Hello, Doctor. I sustained a fracture of the radius while playing basketball on April 30. I underwent surgery where two steel pins were inserted to realign the bone. There are two small wounds on the skin surface,...

Dr. Shi Guozheng Reply:
Typically, bone screws can be removed in about six to eight weeks, but the decision depends on the degree of bone healing as seen on X-rays. If the screws are protruding through the skin, they can be removed directly in the outpatient setting using tools, and anesthesia may not b...

Recovery Timeline for Distal Radius Fracture: Riding and Writing Again

Distal radius fracture Hello doctor, I have a distal radius fracture in my right hand and it's been 4 weeks. My attending physician told me that I can have the cast removed in 2 weeks. As a student, I need to ride a scooter to school. Approximately when will I be able to rid...

Dr. Shi Guozheng Reply:
A radial fracture typically takes at least six weeks to heal, but it may take about three months for the fracture gap to completely close. Therefore, theoretically, it is advisable to wait three months before applying significant force. Riding a motorcycle requires sufficient str...

Post-Plate Wrist Fracture: When Can You Resume Running and Swimming?

What types of exercises are suitable for a distal radius fracture of the right wrist? Hello, regarding the wrist fracture, it has been one month since the steel plate fixation. I usually have a habit of jogging and swimming. When can I resume exercising? Are there any other recom...

Dr. Shi Guozheng Reply:
A wrist fracture near the radius typically takes about three months to heal after surgical fixation. During this period, excessive strain should be avoided. Light jogging is permissible since it does not involve wrist strength, and swimming is allowed as long as there is no pain....

Is My Radius Bone Healed? Understanding X-Ray Results and Joint Pain

Is the bone growth complete? The X-ray follow-up of the radial head shows that the bone has healed according to the treating physician, but another hospital's X-ray follow-up by an orthopedic specialist indicates that the fracture line is still dark and hollow. Additionally,...

Dr. Shi Guozheng Reply:
Your description is unclear; it's better to return to the original hospital for the physician to explain it clearly. If there are no symptoms of pain, it is likely that the fracture has healed, and the gap will gradually disappear.

Understanding Radial Dislocation Recovery After Car Accident Injuries

Car accident radial head dislocation? Six months ago, I was in a car accident. I sustained a comminuted fracture in one hand from bracing myself, while the other hand only suffered a dislocation. The comminuted fracture has healed for quite some time, but the dislocated right han...

Dr. Shi Guozheng Reply:
In addition to rehabilitation, there doesn't seem to be any other methods available. You may also consult the original surgeon to see if there are any alternative options.

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