Shoulder, Orthopedics FAQ

Understanding Complications of Exposed Artificial Ligaments in Orthopedic Surgery

Exposed artificial ligament Hello Doctor, I would like to ask a few more questions: 1. When you mentioned that further evaluation might be needed after removal, does that mean there could be an impact on the function of my left shoulder and hand? For example, if the artificial ...

Dr. Shi Guozheng Reply:
A slight upward tilt of the clavicle does not actually affect its function. Since the clavicle has healed, it is not due to the influence of an infection. If an infection cannot be resolved, then it would be necessary to remove the implant.

Managing Exposed Artificial Ligaments After Shoulder Surgery: Key Concerns

Exposed artificial ligament Hello Doctor: Last November, I suffered a distal clavicle fracture-dislocation of my left shoulder, along with ligament injuries. After undergoing surgery with self-funded artificial ligaments and two titanium screws for fixation, everything healed wel...

Dr. Shi Guozheng Reply:
If there is no discharge from the wound, it is unlikely to be infected. Blood tests can determine the presence of infection. Inflammation may occur before an infection develops, making healing more difficult. Debridement may improve healing, but after removal, further evaluation ...

Do I Still Need a Figure-8 Brace After a Month of Clavicle Fracture Recovery?

It has been almost a month since the clavicle fracture. I can lift my arm. Is it necessary to wear a figure-eight shoulder brace? A month ago, I sustained a clavicle fracture while playing basketball. After nearly a month of rest, I can now lift my arm and move it freely, as well...

Dr. Wang Shouji Reply:
Hello: Based on your age, preliminary bone healing occurs in about a month. Engaging in some shoulder activities should be fine, but you should avoid weight-bearing. Please continue with outpatient follow-up. Thank you!

Understanding Spinal Alignment: Straight vs. S-Shaped Spine Issues

The spine is straight? Hello, doctor. My brother was in a car accident last Wednesday and went to Cheng Ching Hospital in Wuri for an X-ray. The doctor mentioned that his spine is straight, but it should be S-shaped, right? The doctor didn't elaborate much, so I would like t...

Dr. Wang Shouji Reply:
Hello: The lateral X-ray of the spine should not show an S-curve. A spine that is too straight on the lateral view may be due to muscle tightness after an injury or long-term poor posture. It is advisable to monitor this after recovery from the current injury. You may first consu...

Understanding Elbow Angle Issues: Treatment for Persistent Injury After Rehab

Angle issue It has been over six months since the elbow injury, and I have been continuously undergoing rehabilitation. Why is the elbow angle still not normal, especially in the flexion area? What treatment should be pursued?

Dr. Shi Guozheng Reply:
Are you referring to the range of motion of the joint? Generally, after an injury, the joint's ability to fully extend or flex can be affected, resulting in limited extension or flexion. Regular rehabilitation exercises are often necessary for improvement. Typically, the elb...

Understanding Post-Fracture Care: Activity, Healing, and Nutrition

Fracture issues Hello, my family member had a fracture in their arm last week and has already undergone surgery. The surgeon placed a steel pin (the kind that doesn't need to be removed), but they mentioned that it's important to move the hand frequently to reduce swell...

Dr. Shi Guozheng Reply:
Humeral fractures typically heal about three months after surgical fixation with bone screws. During this period, it is important to maintain appropriate movement in the elbow and shoulder joints. If the joints are immobilized for too long, it can lead to contractures and joint s...

Is My Shoulder Pain Related to Adhesions? Understanding Your Symptoms

Could this be considered shoulder and neck adhesion? Hello, doctor! I have been experiencing sharp pain in my upper shoulder for several years. Over time, the sharp pain has subsided, but I have developed numbness in the skin, and my neck has become swollen, all on one side. This...

Dr. Shi Guozheng Reply:
It may be myofascial pain syndrome in the shoulder and neck, which can cause soreness in those areas. You can try physical therapy and heat therapy to see if it improves.

Understanding Swelling Near the Clavicle: Causes and When to Seek Help

Swelling of the clavicle? Hello, I recently noticed a swelling near my right clavicle close to my right shoulder. It feels hard and seems like it could be a muscle or bone swelling. However, I haven't experienced any injury or significant discomfort, although I do often use ...

Dr. Shi Guozheng Reply:
The joint in this area may be the acromioclavicular joint, which could become inflamed or swollen due to improper use. It is advisable to see an orthopedic physician.

Rehabilitation Tips After Clavicle Fracture Surgery: What You Need to Know

Rehabilitation Considerations After Clavicle Fracture Hello Dr. Hong: I previously had a fracture of the left clavicle and underwent surgery to insert a plate about 7 weeks ago (the wound is approximately 12 cm with 8 screws). I am no longer using a sling. However, there is an is...

Dr. Hong Ximing Reply:
Hello: According to what you mentioned, after 7 weeks post-clavicle fracture surgery, if the X-ray shows stable bone healing, you should consult a rehabilitation specialist to gradually increase the intensity of rehabilitation to prevent shoulder joint stiffness. Hong Hsi-Ming

Understanding Shoulder Numbness: Causes and Solutions for Relief

Numbness in the posterior shoulder? During my middle school years, I often stayed up late playing on the computer, and I frequently experienced a sharp pain in my right shoulder. I didn't pay much attention to it at the time, but gradually, the skin on my right shoulder near...

Dr. Wang Shouji Reply:
Hello: It is recommended to promptly visit a neurosurgeon for an examination of the cervical spine and brain tissue for any issues. Thank you!

Understanding Shoulder Pain After Pain Relief Injections: Is It Normal?

Shoulder pain? Hello doctor, I have a back injury. I went to the hospital today for treatment and received a pain injection. After the injection, I was asked to wait in the waiting room for five minutes to ensure there were no issues before leaving. However, on my way home, about...

Dr. Wang Shouji Reply:
Hello: The feeling of tightness after the injury, along with inflammation and swelling at the site, is likely related to your treatment and not associated with the pain relief injection. Thank you!

Understanding Shoulder Pain: Causes, Symptoms, and Treatment Options

Shoulder pain I have been experiencing shoulder pain recently, and I'm not sure if it's due to sitting at my desk for too long or poor posture. However, the pain seems to be getting worse. I also feel discomfort when carrying a backpack and when putting on a bra, especi...

Dr. Huang Minxu Reply:
Hello, based on your description, if there is no history of significant trauma or strain, and there are no obvious signs of redness, swelling, heat, or fever in the affected area, it may be related to poor posture as you mentioned. This is generally indicative of tendonitis. Trea...

Understanding the Risk of Locking Plate Displacement After Clavicle Fracture

Possible displacement of interlocking plates in clavicle fractures? Hello, Doctor. I fractured my clavicle on September 1st and underwent surgery where an interlocking plate was used to stabilize it. I'm concerned about the possibility of the plate shifting postoperatively. ...

Dr. Shi Guozheng Reply:
The likelihood of displacement of the bone plate you are using is low, and it should not shift significantly. An X-ray is necessary to confirm this.

Is It Normal for a Baby's Shoulder to Make Noises During Movement?

Shoulder joint crepitus? A one-year and one-month-old baby is experiencing a cracking sound in the shoulder joint during movement, but is able to move freely. Is this normal?

Dr. Wang Shouji Reply:
Hello: If a child has poor expressive language skills but is otherwise active and without any pain, there should be no major concerns. If you have any questions, please visit the pediatric orthopedic clinic for an evaluation. Thank you!

Can Push-Ups and Sit-Ups Stunt Your Growth?

Growth issues I have been doing push-ups and sit-ups for a long time, and now I have developed biceps and abdominal muscles. Will this affect my height growth?

Dr. Shi Guozheng Reply:
The areas where you exert force are the muscles in the upper body and near the shoulders, as well as the rectus abdominis and back muscles, which should not affect growth in height.

Understanding Clavicle Fractures: Treatment Options and Recovery Concerns

Clavicle fracture Dear Doctor, I would like to ask a question regarding my condition. I was in a car accident on the afternoon of August 22, and I experienced significant pain in my left clavicle. I was taken to the Chi Mei Medical Center emergency room in Tainan, where an X-ray...

Dr. Shi Guozheng Reply:
Clavicle fractures are usually treated conservatively, typically with a triangular sling or figure-of-eight bandage for about three months, unless it is an open fracture or there is a risk of the fracture site penetrating the skin. Additionally, if there are associated vascular o...

Post-Surgery Complications: Managing Clavicle Fracture and Displacement

Post-operative lateral displacement of approximately one centimeter after clavicle fracture surgery? Hello Dr. Wang, I fractured my left clavicle in a car accident on May 3rd. After surgery, the doctor said I didn't need to use a sling, just to avoid putting weight on it. Ho...

Dr. Wang Shouji Reply:
Hello: If there is a failure of fixation and displacement of the clavicle plate, and if the distal plate is still engaged with the bone, we can observe for any further displacement and reinforce with a figure-eight strap. However, if there is loosening, it is necessary to repeate...

Understanding Coccyx Fractures: Symptoms, Treatment, and Recovery Tips

Coccygeal closed fracture Yesterday, I slipped down the stairs and fell three flights, landing on my buttocks. It hurt so much that I couldn't sleep well. Every position causes pain, and moving makes it worse. I applied ice, which provided temporary relief for a few minutes,...

Dr. Wang Shouji Reply:
Hello: Whether it is a fracture or dislocation of the coccyx, conservative non-surgical treatment is generally recommended for one to two months, which includes minimizing sitting and riding to avoid further irritation and pain. If symptoms are significant, please visit an orthop...

Understanding Clavicle Fractures: Healing Timeline and Recovery Tips

Clavicle fracture I had a car accident on August 3rd and sustained a midshaft clavicle fracture. At that time, the doctor only advised me to wear a figure-eight shoulder strap. However, during my follow-up on August 24th, it was discovered that there was displacement. The doctor ...

Dr. Shi Guozheng Reply:
After a fracture surgery, it typically takes about three months for the bone to heal sufficiently. After a few days, new bone growth will begin, but it usually takes six months for the bone to become strong. Once fully healed, one can engage in vigorous activities; however, exces...

Severe Right Shoulder Pain: Causes and Home Remedies

Severe pain in the right shoulder? Doctor, I have been experiencing a dull pain in my right shoulder before going to sleep, which escalated to severe pain that woke me up in the middle of the night. I haven't engaged in any intense physical activity recently, but the pain ha...

Dr. Shi Guozheng Reply:
Joint pain is often associated with improper movements. Consider whether you have lifted heavy objects or performed repetitive actions. Additionally, keeping the joints in the same position for too long can also lead to pain. Of course, if there is a fever, it is important to con...

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