Wrist, Orthopedics FAQ

Understanding Wrist Fusion Surgery: What to Expect and Limitations

Hello, Director. I would like to inquire about issues related to arthrodesis? Hello, Director Shi. Three years ago, I suffered a wrist injury involving the distal radioulnar joint, which has resulted in chronic dislocation and pain. X-rays show that the ulnar bone is dislocated a...

Dr. Shi Guozheng Reply:
There is a slight limitation in external rotation and internal rotation (pronation and supination). The rotation of the wrist is not solely dependent on the wrist itself; the elbow is also involved. Therefore, the radius and ulna can still achieve some minor rotation at the wrist...

Understanding Chronic Wrist Dislocation: Treatment Options and Limitations

The issue of habitual dislocation of the wrist's radial and ulnar joints? Hello, Director Shi. Three years ago, I suffered a wrist injury involving the distal radioulnar joint, which has resulted in chronic dislocation and pain. X-rays show that the ulnar bone is dislocated ...

Dr. Shi Guozheng Reply:
After fusion surgery, there may be some limitations in wrist rotation, but pain will improve, and wrist function will also enhance. Besides this, there doesn't seem to be a better alternative.

Understanding Wrist Pain: Causes and Treatment Options After Injury

The wrist cannot bend? Hello, doctor. I was in a car accident in August of the year before last, and I have pain in the wrist area between my left index finger and thumb. It hurts when I support weight and I can't bend it upwards. I have previously tried acupuncture and tui ...

Dr. Xie Hongjia Reply:
Please visit the outpatient clinic for an examination to determine your condition.

Understanding Wrist Pain: Causes and Solutions for Athletes

Wrist tendon pain? Could it be that my recent intense basketball shooting has caused this? I have also looked into the possibility that it might be due to my sleeping position. Whenever my left wrist is positioned upwards, downwards, or under strain, it starts to hurt.

Dr. Shen Boquan Reply:
Hello Mr. Hong: Regarding your wrist pain, could you please provide more specific details about the location of the pain or the movements that exacerbate it? Most pain is caused by overuse or improper use, leading to inflammation. Reducing excessive use should help alleviate the ...

Should I Remove My Steel Pin After a Distal Radius Fracture?

Distal radius fracture I had a right radial fracture and had a steel nail implanted 9 months ago. During the surgery, the doctor said it wouldn't need to be removed in the future, but less than six months later, they suggested that it should be taken out. The rehabilitation ...

Dr. Wang Shouji Reply:
Hello: Given your age, it is acceptable to either remove or leave the radial plate in place if it is causing irritation, as long as you have normal strength in the active range of motion. Thank you!

Impact on Bone Length After External Fixation: What You Need to Know

I had an external fixation device and accidentally bumped it, causing it to become slightly shorter. Will this have any impact? I have a metacarpal fracture that was treated with an external fixation. I accidentally bumped it, and it has shortened slightly, but there is no pain. ...

Dr. Shi Guozheng Reply:
If the injury is on the hand, wrist, fingers, or elbow joint and there is no bleeding or nerve damage, then it is generally not a concern. However, if there is severe pain or signs of wound infection, it is advisable to consult a physician for evaluation.

Understanding Triangular Fibrocartilage Complex Injuries and Recovery

Regarding the recovery issues after a triangular fibrocartilage complex (TFCC) injury in the wrist? Hello Doctor, I sustained an injury to my left wrist due to an external impact in 2012. Initially, I thought it was just a sprain, but after a month, I found I was unable to lift h...

Dr. Shi Guozheng Reply:
You will need to be evaluated by another orthopedic surgeon, specifically one who specializes in hand surgery, as surgery may be necessary to resolve your issue.

Understanding Ischemic Necrosis of the Toe: Causes, Treatment, and Recovery

Ischemic necrosis of the toes Hello, about a year ago, while I was traveling in another city, I wore a pair of high sandals (the overall height, not just the front or back being higher) for a while. I felt a slight stabbing pain in my right foot but thought it was due to somethin...

Dr. Shi Guozheng Reply:
The necrosis of the second metatarsal bone in the foot is a relatively rare case. If the pain does not improve, the physician recommends surgery. You might consider seeking opinions from other doctors. Without seeing your X-ray, I cannot provide a complete assessment. Avascular n...

Rehabilitation for Left Wrist Radius Fracture: Home Care or Hospital Visits?

Rehabilitation for Left Radial Fracture Rehabilitation for a left radius fracture: Doctor, can I do this at home by myself, or do I need to report to the hospital every day? Currently, my wrist is able to move, but my elbow is at a 95-degree angle. Is it okay to remove the splint...

Dr. Shi Guozheng Reply:
I suggest you first go to the hospital for a few sessions, and then follow up at home. Start with heat therapy, and gradually move your wrist joint. Removing the splint will help improve wrist mobility. Begin with up-and-down movements, then progress to inward and outward bending...

Recovery Tips for Distal Radius Fracture: When to Start Rehab?

Left radial fracture? About a month ago, I sustained an injury that resulted in a fracture of the left radius. At that time, the doctor mentioned that young people do not need surgery and that the bone can heal on its own. Recently, during a follow-up appointment, the doctor sugg...

Dr. Shi Guozheng Reply:
A radius fracture typically heals in about two months. Usually, after the fracture, there will be limited mobility at the joint. Once the splint is removed, wrist flexion exercises should begin (around one and a half months post-injury). It is advisable to attend physical therapy...

Does Fusion of Hand Growth Plates Indicate Fusion Elsewhere?

The closure of the growth plate in one area does not necessarily indicate that the growth plates in other areas have also closed. Each growth plate can close at different times depending on various factors, including genetics and hormonal influences? Does the fusion of the growth...

Dr. Shi Guozheng Reply:
The closure time of the growth plates in the wrist is similar to that of other bones in the lower limbs. If a 15-year-old male has already closed his growth plates, he is unlikely to grow taller.

Understanding Thumb Fractures: Treatment, Recovery, and Surgery Insights

Fracture of the left thumb? Due to a fall while riding a bike, I instinctively braced myself with my left hand, resulting in a dislocation near the wrist of the third phalanx of my left thumb. An X-ray confirmed the dislocation. Currently, the mobility of my thumb is limited, and...

Dr. Chen Yongxue Reply:
Hello, based on your description, it seems to be a fracture of the first metacarpal bone. Generally speaking, surgical intervention is advisable.

Should You Remove Your Wrist Plate? Risks and Alternatives Explained

Removal of radial steel plate and screws? Three years ago, I suffered a fracture of the left radius due to a car accident. Now, when lifting heavy objects, I experience discomfort in my wrist, as if the tendons are being compressed and causing pain. Is it advisable to remove the ...

Dr. Shi Guozheng Reply:
If the bone screw is already encased by bone, it may be difficult to remove. If removal is necessary, the bone may need to be drilled away, which could potentially cause a fracture during the procedure. If the removal is successful, there shouldn't be significant issues. If ...

Managing Hand Bone Fractures: Protection and Recovery Tips

Metacarpal fracture I would like to ask about a bone fracture in the metacarpal of my left ring finger caused by playing basketball. The doctor recommended that I buy a wrist support, but I am concerned that it may not provide adequate protection. Therefore, I purchased a protect...

Dr. Shi Guozheng Reply:
Metacarpal fractures should be immobilized using a cast, splint, or brace. However, the immobilization period must be sufficient for proper healing of the fracture, and it is important to avoid unnecessary movement to prevent malunion.

Wrist Pain After Sleeping: Possible Causes and Solutions

I clearly didn't do anything, but one day I woke up and started feeling pain? Hello doctor, I would like to ask about my wrist. A few days ago, I started experiencing pain when I bend my hand (the location is approximately where my right thumb aligns with my wrist). I can gr...

Dr. Shi Guozheng Reply:
It could be tendonitis; try resting for a few days to see if it improves. If it doesn't get better, you should consult a physician.

Persistent Wrist Pain After Injury: Seeking Effective Treatment Options

Wrist issues Hello, doctor. I fell and landed on my right hand, resulting in a wrist injury. For the first three months, I visited an orthopedic clinic and a rehabilitation center, where the diagnosis was inflammation. After treatment, there was no improvement. I then went to Nat...

Dr. Wang Shouji Reply:
Hello: First, it is important to determine the location of the fracture and the healing status. If it is a wrist bone fracture, the healing status and potential complications need to be carefully monitored. Thank you!

Improving Grip Strength and Wrist Mobility After Distal Radius Fracture

Distal radius fracture of the right hand with inability to supinate? Hello Doctor: It has been 15 days since the incident and 6 days since the surgery. I have some concerns regarding rehabilitation, as I am worried about potential muscle contractures in the future. 1. Currently...

Dr. Shi Guozheng Reply:
You can perform wrist movements such as making a fist and extending the hand as long as there is no pain. It is also acceptable to do flexion and extension of the wrist.

Understanding Tendon Surgery Recovery: Key Insights and Concerns

Post-Tendon Surgery My brother suffered a tendon injury on the back of his wrist from a glass cut two days ago, causing his right middle and ring fingers to bend involuntarily and be unable to extend. He underwent surgery under local anesthesia in the plastic surgery department a...

Dr. Shi Guozheng Reply:
Typically, injuries to the extensor tendons of the fingers on the dorsal side of the hand heal well after suturing. The tendons on the back of the hand are less likely to develop adhesions. Treatment for hand injuries can be effectively managed by either a hand surgeon or an orth...

Recovery Timeline for Distal Radius Fracture: Riding and Writing Again

Distal radius fracture Hello doctor, I have a distal radius fracture in my right hand and it's been 4 weeks. My attending physician told me that I can have the cast removed in 2 weeks. As a student, I need to ride a scooter to school. Approximately when will I be able to rid...

Dr. Shi Guozheng Reply:
A radial fracture typically takes at least six weeks to heal, but it may take about three months for the fracture gap to completely close. Therefore, theoretically, it is advisable to wait three months before applying significant force. Riding a motorcycle requires sufficient str...

Managing Multiple Joint Injuries: Elbow and Wrist Pain Solutions

Wrist issues Elbow issues Hello, doctor. I apologize for having multiple questions. I have three injuries: my right elbow, left elbow, and right wrist. My right elbow was injured six months ago, and it has improved a lot with medication and rehabilitation, but I still have weakne...

Dr. Hong Ximing Reply:
The injury on your body appears to be an old one, and you should focus on protecting it to avoid re-injury, which could lead to permanent damage. It is advisable to consult a rehabilitation specialist.

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