Should You Remove Plates After Proximal Humerus Fracture Surgery?
Issues related to the removal of a plate from a left proximal humerus fracture? Hello, Doctor: I was in a car accident in September of this year and sustained a proximal humeral fracture on the left side (with two cracks at the shoulder joint). I underwent fracture reduction and ...
Dr. Chen Yongxue Reply:
Hello, generally speaking, the removal of the steel plate and the insertion of the fracture fixation are along the same pathway. If the insertion was smooth, during the removal, one just needs to be cautious of nerve traction due to scarring.[Read More] Should You Remove Plates After Proximal Humerus Fracture Surgery?
Post-Operative Care and Recovery Tips for Patellar Fracture Patients
Patellar fracture - postoperative Hello, Doctor. Last month, I inquired about my patellar fracture - post-operative status. I am currently 6-7 weeks post-surgery. My attending physician allowed me to adjust the knee brace to a 90-degree angle after 6 weeks post-op, and I am permi...
Dr. Shi Guozheng Reply:
1. If you walk too much every day, the swelling in your feet may worsen. It is advisable to walk moderately, and if swelling occurs, elevate your feet to promote blood circulation. 2. You can continue training. 3. You can consult a rehabilitation specialist right now.[Read More] Post-Operative Care and Recovery Tips for Patellar Fracture Patients
Post-Surgery Care for Proximal Humerus Fracture: Key Recovery Tips
Post-operative issues following a comminuted proximal humeral fracture surgery? Hello Doctor, my family member (56 years old) suffered a comminuted fracture of the proximal humerus due to a car accident. The hospital has assessed that surgery is necessary for treatment. Since the...
Dr. Li Yongheng Reply:
Hello, active rehabilitation therapy should begin 4-6 weeks after surgery. Typically, light work capabilities can be restored after 3 months post-surgery, general work capabilities after 6 months, and heavy work capabilities after 1 year. However, a proper recommendation can only...[Read More] Post-Surgery Care for Proximal Humerus Fracture: Key Recovery Tips
Understanding Persistent Joint Clicking After Soft Tissue Surgery
Soft tissue is trapped in the joint, but it still makes a cracking sound after surgery? Hello, Doctor! At the end of March this year, I injured my right thumb due to external force. After undergoing X-rays and an MRI, I was diagnosed with a ligament tear. After more than half a y...
Dr. Li Yongheng Reply:
Q.1 There is a possibility, but it is indeed difficult to diagnose using MRI or ultrasound. Q.2 There is a possibility. Q.3 Multiple surgeries may adversely affect the recovery of finger joint mobility. Q.4 Currently, there is no arthroscope available with such fine specifi...[Read More] Understanding Persistent Joint Clicking After Soft Tissue Surgery
Recovering Shoulder Function After Surgery: What to Expect
Right shoulder surgery (comminuted fracture) I underwent surgery on my right shoulder for a fracture on October 18, 2018, and I still cannot lift my right arm. I would like to know if it is common to have difficulty lifting the arm after shoulder surgery, or if there is a chance ...
Dr. Chen Yongxue Reply:
Hello, comminuted fractures of the shoulder often lead to subsequent joint stiffness issues. In addition to the selection of a sturdy plate for secure fixation, postoperative rehabilitation is also very important.[Read More] Recovering Shoulder Function After Surgery: What to Expect
Knee Swelling After Car Accident: When to Seek Further Treatment?
Knee swelling after a car accident? Hello, Doctor. I am Ms. Lai, who has previously asked a question. I apologize for informing you that I have been diagnosed with a knee contusion. On November 3rd, I was involved in a car accident where I impacted the outer side of my right kn...
Dr. Chen Yongxue Reply:
Hello, generally speaking, a knee contusion may swell and be painful for about one to two weeks, depending on the situation. If your symptoms do not improve as expected, it would be advisable to seek further evaluation. Thank you.[Read More] Knee Swelling After Car Accident: When to Seek Further Treatment?
Swollen Knee After Car Accident: When to Seek Further Medical Evaluation
Knee swelling due to injuries from a car accident? Hello, Doctor. I would like to ask about an incident that occurred on November 3rd when I was involved in a car accident that impacted the outer side of my right knee. However, I am experiencing significant pain and swelling on t...
Dr. Chen Yongxue Reply:
Hello. Ms. Lai mentioned the issue of swelling and pain in her right knee. It may be necessary to inform me of the final diagnosis, as the same symptoms can lead to completely different treatment approaches depending on the diagnosis. If there are any doubts about the diagnosis, ...[Read More] Swollen Knee After Car Accident: When to Seek Further Medical Evaluation
Should You Remove Titanium Screws After Fifth Metatarsal Fracture Surgery?
Should the titanium alloy screw be removed after a fifth metatarsal fracture? Hello, on November 14, I suffered a fracture of the fifth metatarsal in my left foot due to a fall. I visited an orthopedic outpatient clinic nearby, where they advised me to use a brace and undergo reh...
Dr. Shi Guozheng Reply:
If the bone has healed and the bone screws have not shifted, there is no need to remove them. The deterioration of bone quality typically occurs in long bones (such as the femur or tibia), while in the metatarsal bones of the foot, the screws can often be left in place without re...[Read More] Should You Remove Titanium Screws After Fifth Metatarsal Fracture Surgery?
Understanding Post-ACL Reconstruction Loosening: Causes and Treatment Options
Postoperative laxity of the posterior cruciate ligament? Hello, doctor. I underwent posterior cruciate ligament reconstruction and meniscus repair surgery at the end of January this year. It has been almost a year, but my muscle strength has not returned, and my passive flexion i...
Dr. Shi Guozheng Reply:
It is possible that it did not heal properly, and a reoperation may be more appropriate. Regenerative therapy cannot tighten the ligaments.[Read More] Understanding Post-ACL Reconstruction Loosening: Causes and Treatment Options
Understanding Patellar Dislocation: Recovery, Prevention, and Support Gear
Patellar dislocation On November 7th, I injured my left knee by colliding with a chair, resulting in a patellar dislocation. That same day, the school promptly took me to Cheng Hsin General Hospital, where the dislocated bone was manually reduced. The next day (November 8th), I v...
Dr. Li Wenhong Reply:
Hello: Removing the cast early and starting to move is to prevent knee joint fibrosis and stiffness. For more details, please consult the attending physician. Generally, after an acute injury, immobilization is required for 2 to 3 weeks, but if there is no obvious instability, ac...[Read More] Understanding Patellar Dislocation: Recovery, Prevention, and Support Gear
Understanding Patellar Fracture Recovery: Pain Management and Rehabilitation Tips
Patellar fracture Hello, Doctor! Thank you very much for your support over the past month and a half. I have been diligently practicing the exercises you recommended, and I am pleased to report that I can now lift my leg and bend it to 90 degrees. I am truly grateful. However, I ...
Dr. Li Yongheng Reply:
Hello: 1. You may consider seeing a rehabilitation specialist and ask them to teach you rehabilitation methods. 2. Swelling in the knee area and tightness when bending is a normal phenomenon, and it may take about 2-3 months for the swelling to subside. 3. Yes, this is a common a...[Read More] Understanding Patellar Fracture Recovery: Pain Management and Rehabilitation Tips
Understanding Patellar Dislocation: Recovery, Rehabilitation, and Prevention Tips
Patellar dislocation On November 7th, I bumped into a chair, resulting in a dislocated patella in my left leg. My teacher immediately took me to the emergency department at Cheng Hsin Hospital, where they performed a manual reduction and applied a splint (only a splint board). Th...
Dr. Li Yongheng Reply:
Hello: On November 7, I experienced a dislocation of the left patella and underwent a manual reduction procedure, which was two weeks ago. 1. I will wait for the swelling to subside before starting rehabilitation for quadriceps strength. 2. I still need to wear a knee brace, whic...[Read More] Understanding Patellar Dislocation: Recovery, Rehabilitation, and Prevention Tips
Understanding Ligament Tear Recovery and Rehabilitation After Injury
Ligament Tear Repair and Rehabilitation Hello, Doctor: Recently, I was involved in a car accident and injured my medial collateral ligament (MCL). Two days after the injury, I visited an orthopedic specialist at a major hospital. He advised that during the acute phase, I should a...
Dr. Wang Shouji Reply:
Hello: The swelling should have disappeared by now. It is advisable to first have an outpatient examination to check for any joint instability or issues, and then assess whether an MRI is necessary. Changhua Hospital cares about your health. Sincerely, Dr. Wang Shou-ji.[Read More] Understanding Ligament Tear Recovery and Rehabilitation After Injury
Discomfort in the Knee Without Pain: Understanding the Causes
The knee does not hurt but feels uncomfortable? Recently, I've been feeling discomfort in my left knee, but there is no pain, making it difficult to describe the sensation. I feel uncomfortable if I stand for a little while or kneel. I'm not sure if this is related to m...
Dr. Li Yongheng Reply:
Hello, based on your symptoms, it is possible that you may have chondromalacia or quadriceps weakness. Therefore, it is recommended that you visit an orthopedic or rehabilitation clinic for an examination. Wishing you a speedy recovery.[Read More] Discomfort in the Knee Without Pain: Understanding the Causes
Understanding Scoliosis Diagnosis: Can a 20-Degree Curve Be Corrected at 22?
A few days ago, I was diagnosed with scoliosis with a curvature of 20 degrees? A few days ago, I was diagnosed with a 20-degree scoliosis at a rehabilitation clinic. I am 22 years old, and the doctor stated that it cannot be corrected because my bones have already matured. Howeve...
Dr. Li Yongheng Reply:
Hello, according to medical principles, the growth plates are typically closed by the age of 22, so correction should not be possible. However, if a physical therapist suggests that correction is possible, you might as well give it a try, as it won't harm the body.[Read More] Understanding Scoliosis Diagnosis: Can a 20-Degree Curve Be Corrected at 22?
Knee Injury Concerns: Recovery Options for Young Adults
Knee injury issues? Four years ago, when I was 15, I had a slip-like incident in my home bathroom that caused a strain in my left knee. I didn't pay much attention to it, but recently, after starting to work on cars, which often requires squatting and lifting, my knee has be...
Dr. Shi Guozheng Reply:
If the MRI shows no significant abnormalities, you can feel reassured that as long as you put in the effort for rehabilitation, there is a possibility of improvement. Quadriceps strength training is a good rehabilitation method, and putting in more effort may lead to better outco...[Read More] Knee Injury Concerns: Recovery Options for Young Adults
Wrist Pain and Clicking Sounds: Understanding Carpal Tunnel Syndrome
Pain occurs when the wrist is bent or twisted? Hello doctor, I changed my kitchen job in July, and around August, I started experiencing numbness in my fingers (from the index finger to half of the ring finger). I searched online and found it could be "carpal tunnel syndrome...
Dr. Shi Guozheng Reply:
Carpal tunnel syndrome typically causes numbness and mild pain, which may be due to tendonitis from wrist rehabilitation or possibly inflammation of the tendon sheath in the fingers. It is advisable to consult a physician for an accurate diagnosis.[Read More] Wrist Pain and Clicking Sounds: Understanding Carpal Tunnel Syndrome
Understanding Arthroscopic Surgery for Knee Injuries: What to Expect
Arthroscopic surgery Doctor, my knee was injured in a car accident, and I had an MRI done. The results showed that I have a torn anterior cruciate ligament (ACL), a torn medial collateral ligament (MCL), and a meniscal tear. The doctor I initially consulted advised me not to take...
Dr. You Dianqi Reply:
Hello: The following responses are based solely on your textual description. Without imaging and physical examination background, the accuracy and reliability of my replies are limited. I still recommend that you have a detailed discussion with your attending physician. Thank you...[Read More] Understanding Arthroscopic Surgery for Knee Injuries: What to Expect
Knee Issues After Car Accident: Understanding Symptoms and Treatment
Knee issues resulting from a car accident? Hello Doctor: Four months ago, I had a car accident that resulted in a contusion of my left knee, which was very swollen. Within a month, I visited the doctor three times, and they diagnosed me with bursitis. I received anti-inflammatory...
Dr. Shi Guozheng Reply:
Swelling of the knee joint after a car accident is typically due to incomplete tissue repair and usually occurs without a fracture. With rehabilitation and heat therapy, recovery is generally expected. If there are concerns about potential internal joint issues, it is advisable t...[Read More] Knee Issues After Car Accident: Understanding Symptoms and Treatment
Understanding Knee Pain After Injury: Causes and Concerns
Knee joint Hello Doctor, in August of this year, while I was riding my bicycle to school, a driver opened their car door without checking for oncoming traffic, causing me to crash directly into it. I was thrown forward, and my right knee hit the ground hard. Since my knee was in ...
Dr. Shi Guozheng Reply:
It is possible that the cartilage in the knee may be injured and bone bruising may occur after an impact, with recovery taking at least three months. During this period, heat therapy and rehabilitation exercises for the knee joint can be performed. If there is no improvement afte...[Read More] Understanding Knee Pain After Injury: Causes and Concerns