Understanding Wrist and Elbow Pain After a Car Accident: When to Seek Further Imaging
The wrist cannot rotate, and the elbow feels stiff? A car accident occurred in July, and I was taken to a nearby hospital where they examined a fracture in the inner bone of my elbow (I was put in a cast). There was no specific mention of my wrist at that time. After a week, I re...
Dr. Li Yongheng Reply:
Hello, the car accident injury has resulted in an elbow fracture, and there may also be damage to the wrist, particularly with regard to potential injuries such as scaphoid fractures, triangular fibrocartilage complex (TFCC) tears, and distal radioulnar joint dislocations. It has...[Read More] Understanding Wrist and Elbow Pain After a Car Accident: When to Seek Further Imaging
Navicular Bone Fracture: Should You Get a Cast and Dive?
Is a cast necessary for a fracture of the right navicular bone? Can I engage in diving activities? Dear Dr. Lee, In mid-July 2017, I injured my right foot while playing badminton. I immediately went to the orthopedic department at Taipei Bo Ren Hospital, where the doctor told me...
Dr. Li Yongheng Reply:
It is recommended that you visit the orthopedic outpatient department of a larger hospital to confirm whether it is a ligament injury or a scaphoid fracture. However, since it has been two months regardless of whether it is a ligament injury or a scaphoid fracture, casting is lik...[Read More] Navicular Bone Fracture: Should You Get a Cast and Dive?
Understanding Scaphoid Fractures: Treatment Options and Recovery Insights
Scaphoid fracture Hello Doctor: I was in a car accident and sustained a fracture of the scaphoid bone in my right hand, which is broken in half in the middle. I am currently in a cast and may need to wear it for 2 to 3 months. The doctor did not mention surgery, but he told me th...
Dr. Li Yongheng Reply:
If a scaphoid fracture is non-displaced, it typically requires at least 2 months of cast immobilization. If there is displacement, surgical treatment is recommended. Last year, you had tendonitis in your right hand, which should not affect the healing of the fracture. If surgery ...[Read More] Understanding Scaphoid Fractures: Treatment Options and Recovery Insights
Recurrent Scaphoid Fracture: Understanding Wrist Pain and Treatment Options
Recurrent injury of scaphoid bone fracture? Hello, doctor. I've been experiencing wrist pain for a while now. I initially thought it was due to overuse, but as it became increasingly uncomfortable, I decided to see a doctor. The doctor mentioned that I have a cyst on my wris...
Dr. Chen Yongxue Reply:
Hello, if there is a scaphoid fracture, it is not easy to heal. Your letter did not mention whether there was a prior injury or if a cast was applied after the injury. If neither of these occurred, the diagnosis of a scaphoid fracture may need to be reconsidered. As for the wrist...[Read More] Recurrent Scaphoid Fracture: Understanding Wrist Pain and Treatment Options
Scaphoid Bone Injury: Healing Challenges and Surgical Options
Scaphoid bone inquiry Fell from the third floor and sustained severe injuries to both wrists. The scaphoid bone has a fracture, and the doctor used a steel pin to stabilize it. A year has passed, but the scaphoid has not healed and there is no bone growth. There is some pain at c...
Dr. Shi Guozheng Reply:
A non-healing scaphoid fracture in the wrist can often lead to persistent pain and an inability to exert force. It is advisable to undergo surgical intervention for bone grafting. If there is any displacement of the elbow's metal screws, it is better to remove them, as they ...[Read More] Scaphoid Bone Injury: Healing Challenges and Surgical Options
Managing Pain from Scaphoid Fracture Healing: Tips and Advice
Scaphoid fracture Hello doctor, I fractured my hand over two weeks ago and have been in a cast. A few days ago, during my follow-up appointment, I was told that a callus has already formed. Recently, I've been experiencing pain because the cast is pressing on the protruding ...
Dr. Wang Shouji Reply:
Hello: Scaphoid fractures usually do not experience significant pressure from plaster casts, as the cast contains a mold that should prevent excessive compression. If there is no pain, it is advisable to wait until the scheduled time for cast removal, at which point the cast can ...[Read More] Managing Pain from Scaphoid Fracture Healing: Tips and Advice
Understanding Scaphoid Fractures: Diagnosis, Treatment, and Recovery
Scaphoid fracture The Ministry of Health and Welfare's health education information website states that scaphoid fractures are often misdiagnosed as "wrist sprains," leading to delays in optimal treatment. As a result, patients with scaphoid fractures frequently ex...
Dr. Hong Ximing Reply:
Hello: 1. In the acute phase of a thumb contusion, massage should be avoided to prevent further soft tissue injury. 2. X-ray examinations are generally only for reference, unless there is a clearly visible fracture. 3. Massage can be performed 25 days after the injury, but if pai...[Read More] Understanding Scaphoid Fractures: Diagnosis, Treatment, and Recovery
Can I Ride a Motorcycle After Scaphoid Fracture Surgery?
Scaphoid fracture Due to a delayed treatment for a scaphoid fracture, I underwent surgery on April 4th, where titanium and biodegradable screws were inserted, and bone marrow was harvested from my abdomen to be used in my wrist. Today marks the sixth day post-surgery, and I am sc...
Dr. Hong Ximing Reply:
Surgery with bone grafting is only performed for non-union of the scaphoid fracture. It is recommended to rest for 2 to 4 weeks to allow sufficient time for the fracture to heal and regenerate.[Read More] Can I Ride a Motorcycle After Scaphoid Fracture Surgery?
Understanding Scaphoid Fractures: Healing Progress and Treatment Questions
Could you please provide some specific questions regarding scaphoid fractures? I had some questions during my follow-up appointment today that I forgot to ask the doctor, so I would like to inquire here. I have a non-displaced scaphoid fracture that has been in a cast for six wee...
Dr. Shi Guozheng Reply:
Scaphoid fractures of the wrist typically require a cast immobilization period of three months for healing, if they do heal. These fractures often have a risk of nonunion, particularly when the fracture occurs in the middle portion of the bone, as the blood supply comes from the ...[Read More] Understanding Scaphoid Fractures: Healing Progress and Treatment Questions
Can You Type on a Computer with a Non-Displaced Scaphoid Fracture?
Can I type on a computer with a scaphoid fracture? Can I type on a computer with a non-displaced scaphoid fracture? I have a cast but did not undergo surgery with screws. The doctor only mentioned not to do anything that would cause pain. Typing doesn't hurt, but I have psyc...
Dr. Hong Ximing Reply:
For a non-displaced scaphoid fracture, if there is no pain and the patient is not engaging in heavy labor, it is sufficient to monitor the healing progress of the fracture.[Read More] Can You Type on a Computer with a Non-Displaced Scaphoid Fracture?
Understanding Kienböck's Disease: Symptoms, Prevention, and Diagnosis
Scaphoid bone of the wrist Hello, I am the patient mentioned in <a href="https://adoctor.tw/article/90491">#90491</a>. My wrist is gradually recovering from the scaphoid fracture and the condition is good. However, I am concerned about avascular necrosis. I ...
Dr. Shi Guozheng Reply:
Avascular necrosis can cause persistent pain and weakness in the wrist joint, but symptoms typically manifest within three to six months. There are not many effective prevention methods; the fate of the bone is usually determined at the time of the fracture. When blood flow is co...[Read More] Understanding Kienböck's Disease: Symptoms, Prevention, and Diagnosis
Understanding Scaphoid Fractures: Conflicting Diagnoses Explained
Scaphoid bone of the wrist Hello Doctor, three months ago I fell while playing basketball and initially thought it was just a sprain. After two months without improvement, I visited an orthopedic clinic where an X-ray was taken. The doctor informed me that I had a fracture of the...
Dr. Shi Guozheng Reply:
Scaphoid fractures of the wrist are generally difficult to diagnose. Typically, if a fracture is present, the wrist will be very painful, and there will be weakness in gripping, making it difficult to clench the fist. The range of motion in the wrist joint will also be affected. ...[Read More] Understanding Scaphoid Fractures: Conflicting Diagnoses Explained
Understanding Delayed Bone Healing After Wrist Surgery: Causes and Solutions
Delayed bone healing? The screw used for the fixation of the scaphoid fracture in my right wrist has become loose. Earlier this year, I accidentally twisted my wrist violently while working, resulting in an injury. Initially, the pain was intermittent, so I did not pay much atten...
Dr. Shi Guozheng Reply:
Taking 5-6 X-rays will not affect the situation; if the bone has not healed, a second surgery may be necessary to stabilize it with bone screws.[Read More] Understanding Delayed Bone Healing After Wrist Surgery: Causes and Solutions
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
Understanding Scaphoid Fracture Surgery and Recovery Challenges
Lunate bone separation The screw used to fix the scaphoid fracture in my right wrist has loosened. Earlier this year, I accidentally twisted my wrist violently while working, which caused an injury. Since the pain fluctuated, I didn't pay much attention to it. Recently, due ...
Dr. Shi Guozheng Reply:
The physician's recommendation to switch to a short arm cast is reasonable because prolonged use of a long arm cast (extending beyond the elbow joint) can affect the range of motion in the elbow. This may result in difficulty fully extending or bending the elbow. Since the b...[Read More] Understanding Scaphoid Fracture Surgery and Recovery Challenges
Recovery Strategies for Scaphoid Fractures: Managing Wrist Limitations
Recovery after a scaphoid fracture? Hello Doctor: I initially had a scaphoid fracture in my wrist and was put in a cast. Now that the bone has healed and I no longer need follow-up visits, I still experience limited wrist mobility. I feel pain when bending it up and down to the m...
Dr. Shi Guozheng Reply:
The wrist joint can move in all directions within a pain-free range of motion. Additionally, grip strength training can be performed by squeezing a ball or other objects, which will gradually help restore grip strength.[Read More] Recovery Strategies for Scaphoid Fractures: Managing Wrist Limitations
Understanding Scaphoid Fractures: Diagnosis, Treatment, and Recovery
Scaphoid fracture assessment I would like to ask: On Sunday morning, I injured my hand while exercising, causing slight swelling and bruising from the area below my little finger to my wrist. I went to a teaching hospital on Monday evening for an X-ray, and the doctor mentioned a...
Dr. Shi Guozheng Reply:
In addition to anteroposterior and lateral X-ray imaging, scaphoid fractures require additional imaging in the wrist's external rotation at 45 degrees and internal rotation at 45 degrees to clearly visualize the fracture site. If the scaphoid fracture is located distally, th...[Read More] Understanding Scaphoid Fractures: Diagnosis, Treatment, and Recovery
Understanding Slow Bone Healing: Insights on Wrist Injuries and Treatment
Delayed bone healing? I underwent surgery for a scaphoid fracture in my right wrist, where screws were used for fixation. Earlier this year, I accidentally twisted my wrist violently while working, which caused an injury. Initially, the pain was intermittent, so I didn't pay...
Dr. Shi Guozheng Reply:
If there is no healing after three months of treatment, it may be considered non-healing, and surgical intervention could be considered.[Read More] Understanding Slow Bone Healing: Insights on Wrist Injuries and Treatment
Understanding Scaphoid Fractures: Recovery and Ongoing Symptoms
Scaphoid fracture of the wrist? Hello, doctor. I had a wrist injury from a car accident where I fell on my wrist, resulting in a scaphoid fracture. It's been almost two months since the cast was removed, and the doctor said the bone has healed. However, I am wondering why I ...
Dr. Wang Shouji Reply:
Hello: A scaphoid fracture will not affect the shoulder or elbow. If there is not only a sound but also accompanying pain, medical attention is necessary. The chances of nonunion and avascular necrosis as complications of a scaphoid fracture are significant, and follow-up observa...[Read More] Understanding Scaphoid Fractures: Recovery and Ongoing Symptoms
Understanding Wrist Screw Loosening: Causes, Treatment, and Healing Tips
Loosening of wrist bone fixation screws? I underwent surgery for a scaphoid fracture in my right wrist. Earlier this year, I accidentally twisted my wrist violently while working, which caused an injury. Since the pain was intermittent, I didn't pay much attention to it. Rec...
Dr. Shi Guozheng Reply:
A cast immobilization may need to be extended due to slower bone healing. The cast used for a scaphoid fracture in the wrist is called a thumb spica cast, which immobilizes from below the elbow to the wrist and the interphalangeal joint of the thumb, without needing to extend to ...[Read More] Understanding Wrist Screw Loosening: Causes, Treatment, and Healing Tips