Understanding Recovery from Radial Head and Femoral Neck Fractures
Closed fracture of the radial head. Right femoral neck fracture? 1. I sustained an injury on May 13 and had a steel plate inserted. Currently, when I perform wrist rotation and palm-up movements, there is a popping sound and pain. Is that normal? When both arms are extended, the ...
Dr. Huang Minxu Reply:
Hello: 1. The swelling and pain approximately six weeks post-surgery may be related to the severity of the injury. It is difficult to assess the postoperative condition based solely on appearance, so it is recommended to follow up with an outpatient X-ray to evaluate the situatio...[Read More] Understanding Recovery from Radial Head and Femoral Neck Fractures
Understanding Wrist Surgery: Loose Screws and Treatment Options
Carpal bone fixation screws The right wrist underwent a surgery for the separation of the scaphoid and lunate bones. Earlier this year, while working, I accidentally twisted my wrist violently, resulting in an injury. Since the pain fluctuated, I did not pay much attention to it....
Dr. Shi Guozheng Reply:
Scaphoid-lunate dissociation treatment and immobilization duration, as your attending physician mentioned, typically require about six to eight weeks. The position of the cast is also correct. After the cast is removed, stability should be assessed; if it remains unstable, it ind...[Read More] Understanding Wrist Surgery: Loose Screws and Treatment Options
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
Understanding Shoulder Dislocation: Recovery, Rehabilitation, and Concerns
Acromioclavicular joint dislocation A few days ago, I suffered a shoulder ligament tear and clavicle dislocation (without fracture) due to a car accident. I underwent surgery at Tamsui Mackay Memorial Hospital on May 28, 2015, and was discharged on the 30th. The doctor used a &qu...
Dr. Lin Jingwei Reply:
Hello: 1. Currently, due to the time required for the repair of ligaments and other soft tissues, it is recommended to use a sling for protection for 4-6 weeks post-surgery. 2. The fixation button for the acromioclavicular joint is made of metal and generally does not need to be ...[Read More] Understanding Shoulder Dislocation: Recovery, Rehabilitation, and Concerns
Understanding Humeral Nail Protrusion and Nerve Injury Risks
Humeral nail Hello, I had a distal humerus fracture in my right arm last March and had a steel nail implanted. I would like to know if it is normal for the nail to protrude at the joint area and be palpable. Also, if it is removed, is it true that it could damage the nerves and l...
Dr. Chen Yongxue Reply:
Hello, the radial nerve is a very sensitive nerve that is often affected during humeral fractures or surgeries. Even slight traction can lead to wrist drop. Fortunately, the majority of wrist drop cases are temporary and will resolve spontaneously within approximately three month...[Read More] Understanding Humeral Nail Protrusion and Nerve Injury Risks
Impact of Delayed Surgery on Distal Radius Fractures
Radial head fracture I fell and broke my wrist on December 20th last year while trying to catch myself. I've been struggling with the decision of whether to have surgery. After reviewing the reports and consulting with my doctor this week, I've decided to proceed with t...
Dr. Chen Yongxue Reply:
The letter does not specify which bone is fractured, nor does it clarify the severity of the fracture. However, if an orthopedic surgeon recommends surgical treatment, it is likely that surgery would be more beneficial for the healing process. Fracture healing has a time-dependen...[Read More] Impact of Delayed Surgery on Distal Radius Fractures
Understanding Recovery Challenges After Mason Type III Radial Head Fracture
Limited flexion and extension after a Mason type III fracture of the radial head? Hello Doctor, I had surgery on November 26, where a steel plate and four screws were used to stabilize and fix the radius neck. The physician advised that I should have the stitches removed after tw...
Dr. Shi Guozheng Reply:
After surgery for a radial head fracture at the elbow joint, it typically takes about six to twelve weeks for the swelling to completely subside. Your description does not indicate any infection issues, but rather poor mobility, which can be improved through active rehabilitation...[Read More] Understanding Recovery Challenges After Mason Type III Radial Head Fracture
Effective Strategies for Managing Chronic Pain in Multiple Joints
Shoulder blade, wrist joint, knee joint, ankle joint, lumbar intervertebral disc, sternum? The trapezius muscle has been in a forward-leaning position for a period of time while using a laptop about 8.9 years ago, resulting in long-term stiffness and soreness in the deeper areas ...
Dr. Shi Guozheng Reply:
Shoulder and neck pain is usually caused by overuse, and reducing activity in this area along with moderate heat therapy or some rehabilitation treatments may lead to improvement. If the right wrist joint continues to be problematic, it may be necessary to check for ligament issu...[Read More] Effective Strategies for Managing Chronic Pain in Multiple Joints
Understanding Distal Radioulnar Joint Dislocation: Treatment Options Explained
Distal radioulnar joint dislocation Thank you very much for your response, Director. A doctor from a major hospital mentioned that a new surgery is needed for treatment. If there is cartilage damage and significant pain, ultimately, fusion of the joint may be required. However, w...
Dr. Shi Guozheng Reply:
Surgery can be avoided if the joint has not yet been completely damaged. If fusion surgery is necessary, it will certainly result in a significant limitation of joint mobility. Detailed surgical methods and procedures should be thoroughly discussed with the surgeon.[Read More] Understanding Distal Radioulnar Joint Dislocation: Treatment Options Explained
Understanding Distal Radioulnar Joint Dislocation: Treatment Options and Risks
Distal radioulnar joint dislocation Dear Dr. Chen, I have a wrist joint dislocation that was delayed in reduction by a martial arts school. An X-ray taken by an orthopedic doctor indicated that it is a distal radioulnar joint dislocation that has not been reduced, and it has been...
Dr. Chen Yongxue Reply:
Hello, when facing a distal radioulnar joint dislocation, it is important to check for associated fractures, triangular fibrocartilage complex injuries, or tendon dislocations. A professional physician and radiological examination are necessary for further evaluation. Distal radi...[Read More] Understanding Distal Radioulnar Joint Dislocation: Treatment Options and Risks
Understanding Wrist Dislocation: Treatment Options and Risks
Wrist joint dislocation Dear Director, I have a wrist joint dislocation that was delayed in reduction by a martial arts school. An X-ray taken by an orthopedic doctor indicated a distal radioulnar joint dislocation that has not been reduced, and it has been 70 days. Should I cons...
Dr. Shi Guozheng Reply:
If a distal radioulnar joint dislocation is not reduced and there are persistent pain symptoms, surgical intervention may be necessary. Without surgery, there could be ongoing pain or inability to exert force. It is advisable to consult a hand surgery specialist at a major hospit...[Read More] Understanding Wrist Dislocation: Treatment Options and Risks
Understanding Ligament Injuries: Medications and Treatment Explained
Ligament injury After reviewing the X-ray, the doctor informed me that I have a ligament injury and recommended that I purchase a wrist brace for protection. The doctor also prescribed two medications: one is a pain reliever, which is a non-steroidal anti-inflammatory drug (NSAID...
Dr. Wang Shouji Reply:
Hello: Sometimes, physicians prescribe such medications to help alleviate patients' anxiety and related issues. If your pain is not that severe, you may consider using it as needed, and then regularly follow up on your recovery status. Thank you![Read More] Understanding Ligament Injuries: Medications and Treatment Explained
Understanding Wrist Pain After a Fall: Causes and Treatments
Experiencing significant pain in the wrist after using the hands to brace during a fall? Today, I fell off the pull-up bar and caught myself with my hands. Initially, I couldn't move my hand, so I applied ice. Now, my right hand can only bend inward at a 35-degree angle.
Dr. Hong Ximing Reply:
Hello: After supporting yourself with your hands, there are limitations in movement, and there should be swelling. It is best to go to the hospital for an X-ray to ensure there are no fractures, which will allow for accurate diagnosis and treatment. Wishing you a speedy recovery....[Read More] Understanding Wrist Pain After a Fall: Causes and Treatments
Understanding Left Elbow Clicking: Ligament vs. Tendon Issues
Clicking sound in the left hand? I would like to know whether the issue with my left elbow is due to ligament laxity or tendon laxity. This concern makes me wonder if I should consult a professional doctor or seek help from a qualified traditional Chinese medicine practitioner. M...
Dr. Shi Guozheng Reply:
It is advisable to consult an orthopedic specialist first rather than casually receiving any manipulation.[Read More] Understanding Left Elbow Clicking: Ligament vs. Tendon Issues
Understanding Wrist Injuries: Seeking Clarity on Treatment Options
Wrist axis issues Hello Doctor, I would like to ask for your advice. I had a motorcycle accident at the beginning of September last year, and it was initially diagnosed as a wrist dislocation. I was put in a cast until October when it was removed. A few days later, I started reha...
Dr. Shi Guozheng Reply:
You can bend your elbow joint within a tolerable level of pain, controlling the force yourself. Allowing someone else to bend it may risk excessive force, which could cause injury or fracture. After electrical therapy or hydrotherapy, gradually bending the joint may still provide...[Read More] Understanding Wrist Injuries: Seeking Clarity on Treatment Options
Understanding Elbow Olecranon Fractures: Complications and Recovery
Olecranon fracture of the left elbow? On May 10, 2013, I was involved in a car accident and underwent internal fixation surgery on May 11. Two steel pins and wires were used for stabilization. After the surgery, I was instructed to wear rehabilitation equipment as part of my reco...
Dr. Shi Guozheng Reply:
Sometimes, the steel pins used to stabilize a fracture can loosen or protrude through the skin, irritating the skin or soft tissue and causing fluid discharge. If there is no inflammation or bacterial infection and the fracture is still healing, it may be necessary to undergo ano...[Read More] Understanding Elbow Olecranon Fractures: Complications and Recovery
Understanding Hand Injuries After a Car Accident: Causes and Recovery Tips
In a car accident, I sprained my hand? Last year, I had a car accident that resulted in a wrist sprain. The doctor confirmed that the bones were fine. For the first two months, I underwent electrical therapy and topical treatments with traditional Chinese medicine, which helped m...
Dr. Wang Shouji Reply:
Hello: The wrist joint is a complex joint formed by multiple bones and the radius and ulna. Injuries often leave varying degrees of sequelae. The possibilities you mentioned do exist, and treatment will depend on your symptoms. A tear of the triangular fibrocartilage may require ...[Read More] Understanding Hand Injuries After a Car Accident: Causes and Recovery Tips
Understanding Wrist Injuries After a Car Accident: Causes and Recovery
Wrist sprain from a car accident? Last year at the end of the year, I sustained a wrist sprain from a car accident. The emergency room doctor said there were no abnormalities in the bones, and that I could manage it with medication and ice therapy. At that time, my symptoms inclu...
Dr. Shi Guozheng Reply:
Wrist injury pain can persist for a long time. Since an MRI has already been scheduled, we will wait for the results before proceeding with treatment. Based on your description, it seems to be improving. If it turns out to be a triangular fibrocartilage complex (TFCC) issue, we c...[Read More] Understanding Wrist Injuries After a Car Accident: Causes and Recovery
Managing Wrist Fractures in Osteoporosis Patients: Key Considerations
Medical management of fractures in patients with osteoporosis? Hello Dr. Chang, I would like to ask you a question. If an elderly person at home has a fracture in their arm (approximately between the wrist and elbow, closer to the wrist), if we choose to apply a cast for treatmen...
Dr. Zhang Jiahao Reply:
Hello: Theoretically, if a fracture has significant displacement and the patient's physical condition allows, it should be reduced and then stabilized, as this can promote better functional outcomes after bone healing. Thank you![Read More] Managing Wrist Fractures in Osteoporosis Patients: Key Considerations
Understanding Wrist Ligament Injuries: Diagnosis, Treatment, and Risks
Wrist ligament tear Hello, how can I determine if there is an injury to the wrist ligaments, and what tests should I undergo? What is the difference between a complete ligament tear and a partial tear? What are the different treatment options? If surgery is not performed, what po...
Dr. Chen Xingyuan Reply:
Dear Netizens, Wrist ligament injuries are very common in the wrist area, but making an accurate diagnosis clinically can be quite challenging. This is due to the complex structure of wrist ligaments, which consist of many ligaments of various sizes. Among wrist ligament injurie...[Read More] Understanding Wrist Ligament Injuries: Diagnosis, Treatment, and Risks