When and How to Rehab After Radius and Scaphoid Fractures: A Guide
When and how to rehabilitate after a fracture of the radius and scaphoid bone, as well as the ulnar styloid fracture? Hello, Doctor: I fell and fractured my wrist (distal radius and scaphoid fractures) in mid-September. I underwent surgery to implant a titanium alloy plate and sc...
Dr. Shi Guozheng Reply:
Ulnar styloid fractures typically do not require special treatment; however, if there is an associated tear of the triangular fibrocartilage complex (TFCC) between the radius and ulna, intervention is necessary. Rehabilitation involves performing wrist movements in all directions...[Read More] When and How to Rehab After Radius and Scaphoid Fractures: A Guide
Alternative Treatments for Delayed Healing in Radius Fractures
Artificial bone Dr. Hong, I would like to ask about a closed comminuted fracture of the radial head that occurred 5 months ago. The fracture was stabilized with a plate on the day of the injury. The physician has assessed it as delayed healing, and I am personally okay with that....
Dr. Hong Ximing Reply:
A radial head fracture has been present for 5 months. If it has not healed after surgery, bone grafting may be considered to promote healing. Therefore, it depends on the specific needs of the fracture. Since X-rays can provide a clear assessment, it is advisable to discuss the s...[Read More] Alternative Treatments for Delayed Healing in Radius Fractures
Understanding Joint Stiffness and Treatment Options for Delayed Healing
Joint stiffness Dr. Chen, I have no bad habits and my physical condition is okay. I received treatment on the day of my injury. May I ask about my closed distal radius fracture, which has been internally fixed and has shown delayed healing for over four months? Besides checking t...
Dr. Chen Yongxue Reply:
Hello, regarding your inquiry, it likely refers to a fracture of the radial head or neck of the radius. If that is the case, it would be better to perform a reduction, as fractures in this area tend to heal more slowly and often lead to stiffness in the elbow joint. I recommend v...[Read More] Understanding Joint Stiffness and Treatment Options for Delayed Healing
Choosing the Right Surgery for Radial Head Fractures: A Patient's Dilemma
Treatment methods Dr. Shi, the patient has a closed fracture of the radial head. It has been four months since the plate fixation surgery. After multiple communications with the physician post-surgery, today the doctor mentioned the need for radial head excision. The patient is 3...
Dr. Shi Guozheng Reply:
After the excision of the radial head, there may be a reduction in joint pain; however, after several years, symptoms of pain in the wrist or elbow joints may emerge, which is considered degeneration. This occurs because the proximal radius does not articulate with the humeral jo...[Read More] Choosing the Right Surgery for Radial Head Fractures: A Patient's Dilemma
Delayed Healing in Orthopedic Fractures: Risks and Recovery Insights
Delayed healing After a closed reduction of a distal radius fracture with plate fixation for 4 months, there is delayed healing expected between 4 to 6 months. Will the fractured bone undergo avascular necrosis? I would like to consult with a plastic surgeon for a free vasculariz...
Dr. Huang Minxu Reply:
Hello: Based on your description, it seems that the fracture healing may be slower. There is a concern that soft tissue may grow into the fracture site or that there could be localized bone necrosis at the edges. This needs to be evaluated through X-rays, as time alone cannot det...[Read More] Delayed Healing in Orthopedic Fractures: Risks and Recovery Insights
Rehabilitation Tips for Elbow Dislocation: Regaining Mobility After Injury
Elbow dislocation with inability to flex? Hello, I would like to ask a question. On August 3rd, I accidentally fell and tried to catch myself with my left hand. At that moment, it felt like my hand was broken. I rushed to the hospital and the doctor said it was a dislocated bone....
Dr. Shi Guozheng Reply:
When there is a wrist injury with bone displacement, it is essential to pay attention to whether there is damage to the ligaments between the radius and ulna (distal radioulnar joint). If there is an injury, further examination or surgery may be necessary. If the pain has persist...[Read More] Rehabilitation Tips for Elbow Dislocation: Regaining Mobility After Injury
Understanding Pin Removal After Open Radius Fracture Surgery
Removal of bone screws Doctor, I had an open fracture of the right radius today and had a bone graft, so I went to have the screws removed. A total of three screws were removed, and there are two wounds about 1 to 2 centimeters in size. How long until I can have the stitches remo...
Dr. Shi Guozheng Reply:
The dressing can be removed in about seven to ten days. You can use a damp towel to wipe the skin, but avoid touching the wound. After that, you can reapply the medication without any issues.[Read More] Understanding Pin Removal After Open Radius Fracture Surgery
Understanding Plate Removal After Fracture Surgery: Key Considerations
I would like to inquire about the issue of removing metal plates? Hello, Doctor. I would like to inquire about the follow-up regarding the removal of the metal plates. Last October, I accidentally fractured both the radius and ulna in my right arm while riding a bicycle. I opted ...
Dr. Shi Guozheng Reply:
Fractures of the radius and ulna typically heal within a year. After healing, an X-ray assessment can determine if the bone screws can be removed. Delaying the removal of the screws may lead to difficulties in extraction. Generally, the removal of screws requires no more than a w...[Read More] Understanding Plate Removal After Fracture Surgery: Key Considerations
Does Late Sleep Affect Bone Growth and Healing Time?
Bone growth Does staying up late affect bone growth or healing time? Also, sometimes I experience sharp pain at the site of my open fracture of the radius where the two bones are fixed with a plate; is this normal? Additionally, I occasionally feel sharp pain below my thumb where...
Dr. Shi Guozheng Reply:
Staying up late should not affect bone growth, and occasional growing pains are also normal.[Read More] Does Late Sleep Affect Bone Growth and Healing Time?
Is It Normal to Feel Pain from Pins and Plates After Wrist Surgery?
Bone screw issues Doctor, I have an open radius fracture with pins and a plate. Is it normal to be able to feel the pins, and is it normal for it to be a bit painful when touched?
Dr. Shi Guozheng Reply:
Just because you can feel it doesn't necessarily mean it's abnormal; it depends on whether the nail has shifted and whether the fracture has healed. Regular follow-ups with your physician are essential to assess the situation. It's important for the doctor to perso...[Read More] Is It Normal to Feel Pain from Pins and Plates After Wrist Surgery?
Understanding Pain After Physical Therapy for Elbow Rehabilitation
Physical therapy massage In May, a titanium alloy plate was placed for distal radius fixation. After physical therapy on August 29, I experienced pain when bending my elbow upwards. The range of motion for bending is limited. There is no pain when the elbow is not bent, but bendi...
Dr. Shi Guozheng Reply:
The location of the fracture is either at the elbow or the wrist. Changes in the position of the elbow during flexion may be related to rehabilitation. If pain persists after massage therapy, it is necessary to obtain an X-ray to confirm whether there are any issues with the frac...[Read More] Understanding Pain After Physical Therapy for Elbow Rehabilitation
Understanding X-Ray Diagnosis for Orthopedic Injuries: Key Insights
Issuance of a medical certificate? If an X-ray shows a small issue that later disappears in a subsequent X-ray, it may indicate that the initial finding was transient or related to a minor condition that resolved itself. It is important to follow up with your healthcare provider ...
Dr. Shi Guozheng Reply:
Is there a slight indication of a fracture in the wrist X-ray? If it is a fracture, the crack may heal over time, and subsequent X-rays may not show the fracture anymore. A fracture can break into several pieces; if there is no external injury or the skin is not penetrated by the...[Read More] Understanding X-Ray Diagnosis for Orthopedic Injuries: Key Insights
Detecting Hardware Displacement in Radius Fracture Surgery
Screw displacement Can a doctor feel if the steel pins or plates have shifted in a radial fracture?
Dr. Shi Guozheng Reply:
Displacement of metal pins or plates typically results in them protruding through the skin or nearby soft tissue, which should be noticeable. Furthermore, if there is a fracture, the affected area may appear deformed or misaligned, which can be observed upon close inspection. Alt...[Read More] Detecting Hardware Displacement in Radius Fracture Surgery
Understanding Healing After an Open Radius Fracture: What to Expect
Fracture healing Doctor, may I ask if it's possible that my right radius, which had an open fracture nearly three months ago, has healed? I can lift light objects without discomfort.
Dr. Shi Guozheng Reply:
It is possible that after bone healing, strength will gradually return.[Read More] Understanding Healing After an Open Radius Fracture: What to Expect
Understanding Open Fracture Recovery: Timeline and Concerns
Fracture healing So, the doctor said that an open fracture takes at least three months to heal bone? Also, I have an open fracture of the right radius, and my thumb feels slightly sore when I rotate it. Is this normal? Will this affect the healing process?
Dr. Shi Guozheng Reply:
Fracture healing typically takes about three months, although some cases may extend to around six months. For long bones, if there is no continued bone growth after six months or if healing has not occurred after one year, it can be classified as nonunion. A slight soreness when ...[Read More] Understanding Open Fracture Recovery: Timeline and Concerns
Healing Time for Radial Head Fractures and Femoral Neck Fixation: What to Expect
Radial head bone callus How long does it take for a closed fracture of the right radial head to heal after plate fixation? It's been three months since the right femoral neck fracture was fixed with three screws, and it still hasn't healed. What should I do?
Dr. Shi Guozheng Reply:
A distal radius fracture typically heals in about three months; however, the removal of bone screws must wait until one year later. The healing time for a femoral neck fracture is similar, but it may lead to avascular necrosis of the femoral head or nonunion due to displacement. ...[Read More] Healing Time for Radial Head Fractures and Femoral Neck Fixation: What to Expect
Essential Nutrients for Bone Healing: Tips for Faster Recovery
Help for Bones What should I eat to help with bone growth? Do younger individuals grow faster? I suffered an open fracture of the radius in my right arm due to a car accident, and it has been over two months with no signs of bone healing. What could be the reason for this? I am c...
Dr. Shi Guozheng Reply:
The role of food in bone healing is primarily to provide nutrients; there are no specific foods or medications that can significantly accelerate bone growth. If someone claims otherwise, it may be an exaggeration of their effects. Delayed fracture healing is related to the severi...[Read More] Essential Nutrients for Bone Healing: Tips for Faster Recovery
How Long Does It Take for a Closed Radius Fracture to Heal?
How long does it take for a closed radius fracture to heal? In the case of a closed distal radius fracture that has been stabilized with a steel plate, bone healing typically begins within 4 to 6 weeks post-surgery. However, complete healing may take approximately 3 to 6 months, ...
Dr. Shi Guozheng Reply:
Bones generally begin to grow back slowly. Experimental findings show that soft callus can appear within two weeks. If visible bone formation is desired, it may take about four weeks, and complete healing typically occurs in approximately six to twelve weeks.[Read More] How Long Does It Take for a Closed Radius Fracture to Heal?
Understanding Delayed Healing in Distal Radius Fractures After Surgery
Fracture issues Closed fracture of the distal radius. A plate has been inserted for fixation, but why has the bone not shown signs of healing nearly three months post-surgery?
Dr. Ye Qingnian Reply:
Fractures of long bones may not show signs of healing within three months; some may require more than six months to demonstrate evidence of bone healing.[Read More] Understanding Delayed Healing in Distal Radius Fractures After Surgery
Which Bone Heals Faster: Open Fractures vs. Foot Bones?
Fracture healing I would like to ask the doctor which part of the body, the hand or the foot, heals from an open fracture faster.
Dr. Shi Guozheng Reply:
Typically, the healing of bone fractures involves the formation of cancellous bone, which generally heals faster than compact bone. The quality of immobilization and the patient's overall condition, such as nutritional status, also play significant roles in the healing proce...[Read More] Which Bone Heals Faster: Open Fractures vs. Foot Bones?