Recovery of Hand Function and Weight Bearing After Distal Radius and Ulnar Fractures
Can the range of motion and weight-bearing ability of the hand be restored after a distal radius and ulnar styloid fracture? Dear Director Shih, My mother fell on Monday morning, landing on her right hand, which resulted in a diagnosis of "distal radius and ulnar styloid fr...
Dr. Shi Guozheng Reply:
It is normal to experience throbbing pain at the surgical site or fracture area after surgery. Approximately six weeks later, the stitches can be removed, and the cast can be taken off. Generally, recovery can reach a certain level during this time. Taking pain relievers in moder...[Read More] Recovery of Hand Function and Weight Bearing After Distal Radius and Ulnar Fractures
Understanding Post-Surgery Nerve Issues After a Colles' Fracture
After fracture surgery Dear Director Chen, My mother underwent surgery for a right wrist fracture on February 7 (diagnosis: Colles' fracture of the right radius, initial encounter for closed fracture, open reduction for fracture of radius, ul). After being discharged on Feb...
Dr. Chen Yongxue Reply:
Hello, the median nerve is often injured due to swelling, which can cause numbness and pain. In severe cases, it may lead to muscle atrophy. Based on your description, it is indeed carpal tunnel syndrome. If the symptoms do not improve, you may consider decompression surgery as a...[Read More] Understanding Post-Surgery Nerve Issues After a Colles' Fracture
Understanding Proximal Radius Fractures: Healing Time and Rehabilitation Tips
The type of proximal radius fracture in the right hand is oblique? I apologize, doctor. I have a fracture in the proximal radius of my dominant hand, and the X-ray shows a collapsed image. I am currently a student and have seen a doctor at the hospital. I just got a splint to sta...
Dr. Wang Shouji Reply:
Hello: To determine if there is any displacement in the fracture, if it is only a minor collapse, there is usually not much concern after the fracture heals. Bone healing typically takes at least three months, but after one month of protective immobilization, if X-rays show no ab...[Read More] Understanding Proximal Radius Fractures: Healing Time and Rehabilitation Tips
Impact of Distal Radius Fracture with Steel Implant on Wrist Recovery
Distal radius fracture Does having a steel pin implanted for a distal radius fracture affect the bone quality at the injury site, especially since the fracture is close to the wrist joint? How long will it take for the wrist to regain normal function? It has been 5 months since t...
Dr. Shi Guozheng Reply:
Rehabilitation can help it recover, and the process is usually not too slow. Typically, such fractures require at least a three-month recovery period, which may extend up to six months.[Read More] Impact of Distal Radius Fracture with Steel Implant on Wrist Recovery
Understanding Radial Fractures: Recovery and Joint Mobility Concerns
Radial fracture Doctor, I have a left distal radius fracture and had a cast applied. Now that the cast has been removed, my wrist can almost rotate like a normal hand, but I still cannot fully extend it due to the cast. Additionally, there is a small piece of bone near the joint....
Dr. Shi Guozheng Reply:
Small bone fragments from a fracture typically do not get stuck unless they are located at the joint interface. Usually, this is caused by immobilization for a period of time, leading to contractures and stiffness. Engaging in rehabilitation exercises may help improve the conditi...[Read More] Understanding Radial Fractures: Recovery and Joint Mobility Concerns
Managing Complex Radius Fractures: An Orthopedic Perspective
Angle-related anxiety The radial head comminuted fracture has not healed with plate fixation. The orthopedic surgeon can help me with anesthesia for manipulation, but they mentioned that there is a risk of displacement and I need to sign a waiver. Just doing rehabilitation exerci...
Dr. Shi Guozheng Reply:
Both anesthesia and relaxation carry certain risks, but not undergoing the procedure will not improve the curvature angle. The decision to proceed is ultimately up to you.[Read More] Managing Complex Radius Fractures: An Orthopedic Perspective
Understanding Wrist Pain: Ligament Tears and Radioulnar Separation
The right wrist has a separation of the radius and ulna, with ligament rupture? Due to weakness in my writing hand, I underwent X-rays, arthroscopy (with contrast), and CT scans of my right wrist at a major hospital. The X-rays compared both hands (with the left hand being normal...
Dr. Hong Ximing Reply:
The separation of the distal radius and ulnar bones is typically caused by an injury. If heavy lifting is not possible, it does not affect overall function, but a wrist brace is needed for protection. Surgical fixation may have some impact on future functionality.[Read More] Understanding Wrist Pain: Ligament Tears and Radioulnar Separation
Understanding Treatment Options for Radial Bone Fractures Near the Elbow
There is a fracture in the right radius near the elbow with an angulated deformity? Hello doctor, I previously injured my right radius near the elbow while playing basketball, causing a crack but not a complete fracture. I have already had a long cast applied to stabilize my wris...
Dr. Shi Guozheng Reply:
If the fracture can be securely stabilized with a metal plate, it may not be necessary to use a cast. However, if the fracture is comminuted, even after stabilization with a plate, it may still require additional casting for protection. The specific circumstances should be discus...[Read More] Understanding Treatment Options for Radial Bone Fractures Near the Elbow
Understanding Non-Healing Fractures: Challenges in Orthopedic Recovery
I want to discontinue treatment? A comminuted fracture of the radius has not healed after more than 8 months. There is a noticeable bulge at the surgical site where the plate is located when touching the area. Rotating the hand causes pain, especially when bending the fingers upw...
Dr. Shi Guozheng Reply:
If a fracture has not yet healed, it is important to wait for it to heal and not to abandon treatment. You can return to the physician for follow-up. If it still does not improve, you can seek alternative treatment options.[Read More] Understanding Non-Healing Fractures: Challenges in Orthopedic Recovery
Understanding Nonunion of the Radius: Treatment Options and Insights
Unhealed radius fracture It has been over three months since the autologous bone graft for the radial head, and it has not yet healed. The shape resembles an L, with one long side showing regeneration and the shorter side remaining unhealed. The attending physician mentioned that...
Dr. Shi Guozheng Reply:
There is still room for growth after more than three months, so we can wait and see, as there is still a chance for healing over time.[Read More] Understanding Nonunion of the Radius: Treatment Options and Insights
Understanding Residual Effects of Ganglion Cysts in the Wrist
Complications of a ganglion cyst? Hello, doctor. When I was young, I discovered a ganglion cyst on my right wrist. After several years of acupuncture treatment, it has now disappeared. Recently, I noticed that although the swelling has gone down, my right wrist seems to have diff...
Dr. Shi Guozheng Reply:
A ganglion cyst typically does not affect function. The most common location is on the dorsal side of the wrist, although some may also develop on the palmar side near the distal radius. The cyst contains a viscous fluid, and most symptoms improve significantly after aspiration. ...[Read More] Understanding Residual Effects of Ganglion Cysts in the Wrist
Understanding Nerve Sensation Changes After Radial Head Fracture Surgery
Joint examination After a comminuted fracture of the radius, why is there no sensation, tingling, or numbness in the ulnar nerve post-surgery, but it starts to feel tingling and numbness after manual relaxation of the hand? Is it possible to perform an arthroscopy?
Dr. Shi Guozheng Reply:
Arthroscopy may not be very helpful; it might be worth considering a nerve conduction study to identify which nerve is problematic. After a radial head fracture, the radial nerve passes nearby, and it is less likely to affect the ulnar nerve.[Read More] Understanding Nerve Sensation Changes After Radial Head Fracture Surgery
Post-Surgery Care Tips for Radial Fracture Plate Removal
Post-operative care following a fracture fixation surgery of the radius? Hello! I had surgery on January 4th to remove the plate that was placed for my radius fracture. Could you please provide me with some postoperative care instructions, including any dietary restrictions? Than...
Dr. Shi Guozheng Reply:
The type of food consumed does not have a significant impact, but it is important to avoid strenuous activities for six months after surgery, as the screw holes from the bone screws have not fully healed. Engaging in excessive force could increase the risk of re-fractures of the ...[Read More] Post-Surgery Care Tips for Radial Fracture Plate Removal
Rehabilitation Insights for Recovery from Closed Radius Fractures
Rehabilitation Perspective After more than 7 months post-closed fracture of the radial head, the current range of motion is 20-100 degrees with relaxation at 10-110 degrees. Is it possible to return to normal range of motion with continued rehabilitation? Additionally, the last t...
Dr. Hong Ximing Reply:
Radial head fracture, 7 months post-injury, uncertain if surgical reduction was performed. Currently, the range of motion is from 20 to 100 degrees, indicating possible contracture. Joint injuries can sometimes affect the ability to return to normal range of motion. The numbness ...[Read More] Rehabilitation Insights for Recovery from Closed Radius Fractures
Post-Operative Complications of Distal Radioulnar Fusion Surgery
Complications after remote distal radioulnar joint fusion? Hello Doctor, I have a distal radius and ulnar fracture with joint involvement, and after a delay of three months in treatment, it healed improperly before I went to the hospital for surgery. After two months of rehabilit...
Dr. Shi Guozheng Reply:
After the fusion surgery of the distal radius and ulna, there may be a slight reduction in joint mobility; however, weight-bearing and strength are still possible. Most importantly, this procedure can reduce pain and improve function.[Read More] Post-Operative Complications of Distal Radioulnar Fusion Surgery
Delayed Surgery for Wrist Fracture: Can Recovery Still Be Achieved?
Delayed surgery for a hand fracture can lead to poor healing outcomes postoperatively? Doctor, I was in a car accident on May 10th and went to China Medical University to get an X-ray, which showed a distal radius fracture and ulnar dislocation. I did not undergo surgery and inst...
Dr. Wang Shouji Reply:
Hello: In the case of a distal radius fracture with associated ulnar dislocation, if not treated promptly, rehabilitation may be poor. It is recommended to consult an orthopedic or hand surgery specialist. Thank you![Read More] Delayed Surgery for Wrist Fracture: Can Recovery Still Be Achieved?
Rehabilitation After Distal Radius and Elbow Fractures: What You Need to Know
Comminuted fracture of the radius and elbow? Hello Doctor, I was in a car accident in mid-October and sustained a comminuted fracture of the distal radius in my right wrist, as well as a comminuted fracture of the olecranon in my right elbow. After surgery, I have two steel pins ...
Dr. Shi Guozheng Reply:
Rehabilitation can be performed because prolonged immobilization can lead to joint stiffness. Currently, grip strength training is appropriate, and the wrist joint must also begin to mobilize. If the fixation of the radius is secure, then movement is generally permissible.[Read More] Rehabilitation After Distal Radius and Elbow Fractures: What You Need to Know
Understanding Elbow Flexion Issues After Fracture Surgery
Elbow flexion issues? Hello doctor, I fell at work on August 26 and sustained a fracture of the right radius. Following the doctor's advice, I underwent an MRI, which revealed small fragments near the ulnar area at the elbow. The doctor informed me that a tendon was torn and...
Dr. Shi Guozheng Reply:
A 90-degree flexion of the elbow joint is insufficient; continued rehabilitation therapy for two more months is necessary for improvement. The plate may not need to be removed.[Read More] Understanding Elbow Flexion Issues After Fracture Surgery
Understanding Wrist Pain After Non-Surgical Radius Fracture Recovery
Radial fracture Hello Doctor: I fell on August 8 and sustained a fracture (hairline fracture) of the radius in my wrist. I did not undergo surgery and was in a cast for about a month and a half. After that, I started doing some stretching and bending exercises on my own. It has n...
Dr. Shi Guozheng Reply:
Although fractures may not require surgery, healing still takes a certain amount of time, usually around three months. Even after healing, joint mobility must be restored through rehabilitation. It is important to actively move your wrist joint in all directions every day. To enh...[Read More] Understanding Wrist Pain After Non-Surgical Radius Fracture Recovery
Understanding Autologous Bone Grafting for Delayed Healing in Radial Head Fractures
Bone grafting Dr. Yeh, I would like to ask about a closed fracture of the radial head that occurred 5 months ago. I underwent plate fixation on the day of the injury. The doctor mentioned delayed healing and suggested autologous bone grafting. How effective is the healing capacit...
Dr. Ye Qingnian Reply:
Poor bone healing can be effectively treated with autologous bone grafting, which yields the best results. While there are synthetic bone substitutes available, their efficacy is not as good as that of autologous bone. In cases of nonunion of the radius, the autologous bone used ...[Read More] Understanding Autologous Bone Grafting for Delayed Healing in Radial Head Fractures