Understanding Bone Spurs Between the Tibia and Talus: Symptoms and Treatment
Bone spurs develop between the tibia and talus? Doctor, I may have developed a bone spur between my tibia and talus due to a previous severe sprain. I have had an X-ray taken, and the location is indicated by the red dot in the image (right foot—yellow represents the bone, and re...
Dr. Shi Qiming Reply:
As shown in the image, the location of the bone spur is between the joint surfaces, which often affects walking and causes pain. Therefore, the necessity for surgery depends on the size of the bone spur. The preferred surgical approach is minimally invasive, such as arthroscopic ...[Read More] Understanding Bone Spurs Between the Tibia and Talus: Symptoms and Treatment
Uneven Knee Joint Space: Understanding Osteoarthritis and Treatment Options
Uneven knee joint space? Hello, Director: I have been experiencing knee pain while walking and going down stairs for the past year. An X-ray showed that the space between the knee bones is uneven, with one side narrower than the other. The doctor mentioned that I should undergo r...
Dr. Shi Guozheng Reply:
Degenerative arthritis typically occurs in the joints between the femur and tibia (referred to as the tibiofemoral joint) and the joint between the patella and femur (known as the patellofemoral joint). If the joint surfaces degenerate and wear down, the joint space will change, ...[Read More] Uneven Knee Joint Space: Understanding Osteoarthritis and Treatment Options
Can I Ride a Motorcycle After a Tibia Fracture Recovery?
Tibia fracture Doctor, I had an open tibial fracture from a car accident in early May this year, and I had a rod inserted. In early October, during my follow-up appointment, the doctor said that half of the bone had healed and I could use a crutch to practice walking. Currently, ...
Dr. Li Wenlin Reply:
Hello: The best answer comes from your attending physician. If possible, please consult your attending physician directly. They can assess your bone structure and postoperative recovery status. You should be able to ride a motorcycle, but it's best to get their recommendatio...[Read More] Can I Ride a Motorcycle After a Tibia Fracture Recovery?
Managing Meniscus Tears: Treatment Options and Legal Considerations
Treatment for Meniscus Tear and Correction of Contact Information (Forwarded from the Director's Email) 1. I have sustained an injury resulting in a tear of the right knee meniscus, which was surgically repaired in 1994. Since then, I have taken careful measures to maintain ...
Dr. Shi Guozheng Reply:
If the meniscus cartilage wear is mild, there is no need to rush into surgery. If you are going to undergo total joint replacement surgery in the future, it is advisable to wait until the cartilage damage in the femoral and tibial joint surfaces becomes severe before proceeding. ...[Read More] Managing Meniscus Tears: Treatment Options and Legal Considerations
Concerns About Retained Screws After ACL Repair Surgery: Pain and Complications
Issues with fixation screws in posterior cruciate ligament repair surgery? Hello, about 4 to 5 years ago, I underwent surgery for posterior cruciate ligament repair and fixation. A year later, after the screws were removed, the doctor mentioned that there were still three screws ...
Dr. Wang Shouji Reply:
In general, this type of steel pin does not necessarily need to be removed. If removal is required, there may be some minor risks involved, but as long as precautions are taken, the risks should be minimal. It is important to consider whether removal is absolutely necessary. Wish...[Read More] Concerns About Retained Screws After ACL Repair Surgery: Pain and Complications
Understanding Bone Spurs: Treatment Options and Insurance Coverage
About bone spurs? Hello, doctor. I live in Zhudong and would like to ask about a previous X-ray I had taken. I have bone spurs at the ankle joint (where the calf connects to the foot) on both legs, specifically at the central position of the distal ends of the tibia. This conditi...
Dr. Shi Guozheng Reply:
Joint dysfunction is not always due to bone impingement; in the ankle joint, it may also be caused by muscle tightness. It is essential to determine the underlying cause of the joint restriction; otherwise, surgery may not yield the desired results. If surgery is necessary and co...[Read More] Understanding Bone Spurs: Treatment Options and Insurance Coverage
Choosing the Right Knee Brace for Tibial Fractures: Expert Advice
Tibial Fracture - Knee Hello Doctor: Regarding the choice of knee brace, my fracture is located in the knee. What type of knee brace should I choose? I would appreciate your advice, thank you!
Dr. Shi Qiming Reply:
We recommend that you visit an orthopedic outpatient clinic for evaluation by a physician, as the treatment will depend on the specific circumstances of the fracture.[Read More] Choosing the Right Knee Brace for Tibial Fractures: Expert Advice
Choosing the Right Knee Brace After a Fracture: A Guide for Recovery
Knee brace selection? Hello Doctor: I was in a car accident this January, which resulted in a fracture of my left tibia. Since the injury was between being operable or treatable with a cast, I chose to use a cast for natural healing. It has been nearly six months since the accide...
Dr. Shi Qiming Reply:
The treatment and healing time for tibial fractures vary depending on the location of the fracture. Generally, individuals with fractures that have not healed will experience pain when standing or walking for extended periods. The choice of knee brace should be determined based o...[Read More] Choosing the Right Knee Brace After a Fracture: A Guide for Recovery
Understanding Knee Pain in Teens: Causes and Solutions for Active Lifestyles
Knee Doctor, may I ask why my knee often hurts and sometimes feels like the bones are rubbing against each other? I started experiencing this pain in the 9th grade, and now I'm in 10th grade. The pain usually starts after I exercise, but if I exercise for about 30 minutes, i...
Dr. Shi Guozheng Reply:
The location of knee pain must be clearly identified. If the pain is along the edge of the kneecap, there is a higher likelihood of tendonitis. If the pain occurs below the kneecap at the junction with the femur, especially during squatting, going up and down stairs, or walking d...[Read More] Understanding Knee Pain in Teens: Causes and Solutions for Active Lifestyles
Where Are the Growth Plates Located in the Human Body?
Where are the growth plates located? Hello, Doctor: Could you please tell me where the growth plates in humans are located?
Dr. Shi Guozheng Reply:
At the ends of long bones (such as the femur or tibia), specifically in relation to the knee joint, the distal end of the femur (thigh bone) is located just above the knee joint, while the proximal end of the tibia (shin bone) is located just below the knee joint. Additionally, t...[Read More] Where Are the Growth Plates Located in the Human Body?
Understanding Growth Plate Closure: Spine vs. Feet in Adolescents
Could you please provide more context or specify what information you are seeking about the spinal growth plates? The closure of the vertebral growth plates typically occurs around the ages of 16 to 18 in females and 18 to 21 in males. In general, the growth plates in the spine t...
Dr. Shi Guozheng Reply:
The exact timing of the closure of the vertebral growth plates is not well-documented; however, it can be estimated based on the closure of the iliac crest growth plates in the pelvis, which typically occurs after the age of sixteen. Nonetheless, literature has reported that afte...[Read More] Understanding Growth Plate Closure: Spine vs. Feet in Adolescents
Post-Surgery Rehabilitation Challenges in Orthopedic Patients
Rehabilitation Issues After Orthopedic Surgery Hello Dr. Zhou: My mother (64 years old) had a car accident a year ago, resulting in a fracture of her ankle (the area between the tibia and the foot). After surgery to insert a metal plate, the doctor said the operation was successf...
Dr. Zhou Lizhi Reply:
1. Post-operative rehabilitation for ankle fractures should first consider the degree of fracture comminution and the stability provided by the fixation with screws. If the ankle joint is stable after surgery, non-weight-bearing activities (dorsiflexion and plantarflexion) can be...[Read More] Post-Surgery Rehabilitation Challenges in Orthopedic Patients
Understanding Closed Fractures of the Proximal Tibia: Symptoms and Insights
I'm sorry, but I need specific content to translate. Please What is a closed fracture of the proximal tibia? I saw a doctor and my diagnosis states this. I experience pain when pressing above the knee and also during squats. I would like to inquire about this, thank you!
Dr. Zhang Shengben Reply:
A proximal tibial fracture refers to a fracture of the tibia near the knee joint due to trauma. A closed fracture is one where the fracture site does not communicate with the external environment. As for your symptoms, an X-ray and a clinical physical examination are necessary fo...[Read More] Understanding Closed Fractures of the Proximal Tibia: Symptoms and Insights
Managing Patellar Chondromalacia: Treatment Options and Relief Strategies
Patellar chondromalacia I am a patient with patellar chondromalacia, experiencing cartilage wear on the right patella, graded between 2 and 3! I have undergone a tibial tuberosity osteotomy with a 1 cm elevation. Postoperatively, I feel significant pressure on the cartilage above...
Dr. Shi Guozheng Reply:
Minimize pressure on the patella as much as possible, such as when going up and down stairs, hiking, or performing squatting, kneeling, and jumping movements. This may help alleviate symptoms. If the surface of the patella is already worn, the symptoms may persist. If possible, r...[Read More] Managing Patellar Chondromalacia: Treatment Options and Relief Strategies
Comparing Intramedullary Nails and Fitbone for Tibial Fractures
Regarding intramedullary nailing for tibial fractures? Dear Director Hong, If there is a discrepancy in the length of the tibia in the lower limb, is the Ilizarov external fixation system for limb lengthening the only option? I have heard that in Germany, some doctors use the Fi...
Dr. Hong Ximing Reply:
Thank you for your question, which is very professional. Limb lengthening is generally performed using external fixation, and each method has its own advantages and disadvantages, as well as certain limitations, especially in adults or children. As for the intramedullary nail imp...[Read More] Comparing Intramedullary Nails and Fitbone for Tibial Fractures
Recovery Timeline After Tibial Fracture Surgery: When Can You Walk Normally?
Fracture Hello Dr. Zhou: I had a tibial fracture in March last year, and I had the six metal screws and plate removed on November 10 this year. How long will it take before I can walk normally?
Dr. Zhou Lizhi Reply:
Hello, netizen: If a lower leg fracture has completely healed after one year, the internal fixation devices can be removed. After removal, normal walking can resume due to complete healing. There will be screw holes in the tibia (six in total), which will heal in about three mont...[Read More] Recovery Timeline After Tibial Fracture Surgery: When Can You Walk Normally?
Understanding Inner Calf Pain: Causes and Solutions for Runners
Pain on the inner side of the calf? Hello, I used to be overweight, but I have lost weight through exercise and my weight is now normal. However, after running a few times, I started to experience pain in the inner side of my calves (it seems to be the tibia). There was a period ...
Dr. Wang Shouji Reply:
Simon: If pain only occurs during exercise and not during rest or normal activities, it is generally indicative of muscle soft tissue inflammation. If this is not the case, it is advisable to visit an orthopedic clinic for further evaluation. Wishing you a speedy recovery.[Read More] Understanding Inner Calf Pain: Causes and Solutions for Runners
Understanding Sports Injuries: Shoulder, Finger, and Knee Fractures Explained
Sports Injury: Fracture Hello, doctor. I have consulted two orthopedic specialists and would like to ask a few questions. I play baseball and basketball, and I previously injured my shoulder while pitching, which was not caused by an external impact. After resting, I have no issu...
Dr. Hong Ximing Reply:
Hello, Xiao Zhang: Regarding your shoulder, you should go to a medical center for a detailed examination using magnetic resonance imaging (MRI) to diagnose whether there is any damage to the cartilage or tendons. Typically, a finger injury from eating dried radish can recover wit...[Read More] Understanding Sports Injuries: Shoulder, Finger, and Knee Fractures Explained
Do I Need Bone Grafting After a Severe Leg Injury?
Is there a need for bone grafting? Hello, doctor. I had a car accident in January 2006, resulting in a comminuted open fracture of my right calf, with both the tibia and fibula fractured. As of now, the bones have not healed. In March 2008, based on the doctor's recommendati...
Dr. Shi Qiming Reply:
According to what you mentioned, it may be a tibiofibular fracture. If the tibial fracture has not healed for over a year, a bone graft surgery using your own bone is preferable; if there is not enough, then artificial bone can be used. The duration of rehabilitation needs to be ...[Read More] Do I Need Bone Grafting After a Severe Leg Injury?
Understanding Osteochondromas: Should You Consider Surgery for Knee Pain?
Osteochondroma Hello, Doctor. Several years ago, I discovered a hard lump on the inner side of my knee, so I went to the hospital for an examination. The doctor said it was a hereditary osteochondroma and that I needed surgery, but he also mentioned that it could grow back after ...
Dr. Li Wenlin Reply:
Hello: 1. Based on your description, it does seem to be an osteochondroma, but there are several classifications of osteochondromas, and the management approaches can vary. I personally think you should seek a second opinion. For example, in Taipei, you can consult with Directo...[Read More] Understanding Osteochondromas: Should You Consider Surgery for Knee Pain?