Wrist, Orthopedics FAQ - Page 24

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To Operate or Not: Navigating Surgical Decisions in Orthopedics

Do I need surgery? I'm in a dilemma! Hello, Doctor. My mother had a motorcycle accident on May 6 (with no serious external injuries). The X-ray results at Hospital A showed a fractured left clavicle and a comminuted fracture of the right wrist. The physician recommended surg...


Dr. Li Wenlin Reply:
Hello: In response to your question, if this is truly troubling you, it would be advisable to seek consultation at a medical center. Legally speaking, if there are issues with a judgment, you can appeal, but ultimately it will go to the higher court. Therefore, if you have concer...

[Read More] To Operate or Not: Navigating Surgical Decisions in Orthopedics


Non-Surgical Treatment Options for Closed Radial Shaft Fractures in Seniors

Closed fracture of the right radial shaft? Hello, doctor. My 84-year-old grandmother accidentally fell and sustained a closed fracture of the right radial shaft. The doctor said she needs surgery and the insertion of a graft for treatment, but my grandmother finds it troublesome ...


Dr. Zhang Jiahao Reply:
Hello: Distal radius fractures caused by falls in the elderly typically occur near the wrist, close to the palm. I'm not sure about the extent of displacement after the fracture. The greater the displacement, if not treated with reduction and stabilization, the more signific...

[Read More] Non-Surgical Treatment Options for Closed Radial Shaft Fractures in Seniors


Concerns About Removing Steel Plates and Screws from Humerus Fracture

Please inquire about the removal of humeral intramedullary nails and plates? Hello Dr. Lee, I would like to briefly describe my situation. I am a 26-year-old female. In January 2010, I suffered a "humeral shaft fracture" due to a car accident. At that time, I underwent...


Dr. Li Wenlin Reply:
Hello: In response to your question, there is an unwritten rule in the orthopedic field that a patient is always considered a patient for life. Moreover, since you have previously undergone surgery performed by your attending physician, and given that you chose to have a plate fi...

[Read More] Concerns About Removing Steel Plates and Screws from Humerus Fracture


Consultation on Wrist Fracture and Dislocation Treatment Options

Medical consultation Dear Director: I would like to inquire about the treatment of simultaneous wrist fractures and dislocations, specifically whether it requires staged treatment. 1. Is it possible to make a self-paid appointment to consult in the clinic? 2. Alternatively, can I...


Dr. Shi Guozheng Reply:
It is advisable to treat both the fractured bone and the dislocated joint simultaneously. The dislocation should be reduced as soon as possible. If you have health insurance, you can directly register for an appointment at the clinic using your insurance. Additionally, if you hav...

[Read More] Consultation on Wrist Fracture and Dislocation Treatment Options


Understanding Wrist Pain: Possible Causes and Treatment Options

Wrist pain Hello Dr. Wang, I am studying abroad and the average temperature here is about 6 degrees Celsius. Recently, for the past half month, I have been experiencing pain in my wrist. My left hand cannot be fully extended or bent for too long without pain, and I also have diff...


Dr. Wang Shouji Reply:
Mr. Lan: Cold weather can lead to muscle stiffness and poor blood circulation, which may cause soreness. If there is no significant improvement after applying a heat pack, it is advisable to visit a hospital for further evaluation to determine the underlying cause. Wishing you a ...

[Read More] Understanding Wrist Pain: Possible Causes and Treatment Options


Do Wrist Ganglions Require Surgery? Insights and Hospitalization Needs

Wrist ganglion cyst Hello, Doctor Shi: My friend has a wrist ganglion cyst. Is surgery necessary for this condition? Will hospitalization be required?


Dr. Shi Guozheng Reply:
Surgery is usually not necessary; however, if the growth becomes large or affects wrist function, surgery may be required. The procedure is performed on an outpatient basis and does not require hospitalization.

[Read More] Do Wrist Ganglions Require Surgery? Insights and Hospitalization Needs


Understanding and Managing Scaphoid Fractures: A Patient's Guide

Closed fracture of the carpal bones in the hand? I fell while playing basketball and used my hand to break the fall, resulting in a bone injury. I went to the Tri-Service General Hospital in Keelung and had an X-ray done. They told me I have a closed fracture of the lunate bone. ...


Dr. Li Wenlin Reply:
Hello: In response to your question, if it's convenient for you, please visit our hospital (Keelung Hospital) for a consultation. Through a physical examination and X-ray imaging, I will be able to provide you with further recommendations more easily!

[Read More] Understanding and Managing Scaphoid Fractures: A Patient's Guide


Understanding Muscle Strains from Street Dance: Causes and Recovery Tips

Strain while performing street dance? I was practicing street dance balance with my classmates, using both hands to support my body, but I accidentally strained myself! Now, whenever I exert force with my right hand, it hurts a lot. After resting, it feels a bit better, but it st...


Dr. Zhang Shengben Reply:
Hello, if there is persistent pain or swelling, you should seek medical attention for an X-ray to confirm whether there is a fracture or dislocation. If not, it is recommended to use a wrist brace to stabilize the wrist joint and avoid overuse of the wrist.

[Read More] Understanding Muscle Strains from Street Dance: Causes and Recovery Tips


Understanding Humerus Fractures: Recovery, Pain Management, and Surgery Decisions

Humeral fracture Hello, Doctor: I would like to briefly describe my situation. In December 2008, I suffered a right humeral fracture while playing softball. The fracture was in a lightning shape, and the surgeon later inserted a plate and 12 screws. I also injured my radial nerve...


Dr. Shi Guozheng Reply:
Internal bone screws and plates do not need to be removed unless they affect function or cause inflammation or infection. Removing the plates may risk damaging nerves, so this surgery should be avoided unless absolutely necessary. Pain may be due to other causes and can be manage...

[Read More] Understanding Humerus Fractures: Recovery, Pain Management, and Surgery Decisions


Effective Supplements for Joint Pain Relief in Middle-Aged Adults

Bone pain Hello, my mother is around 53 years old and usually consumes nutritional drinks for health benefits. Recently, due to work-related physical labor, she has been experiencing joint pain. I did some research online and found that products like glucosamine and nutritional d...


Dr. Shi Qiming Reply:
A balanced diet is sufficient; there is no need to consume excessive dietary supplements. For pain caused by work-related activities, assistive devices such as knee braces and wrist supports should be used for improvement.

[Read More] Effective Supplements for Joint Pain Relief in Middle-Aged Adults


Understanding Finger Stiffness: Causes and When to See a Doctor

Finger stiffness My mother is 52 years old and has recently been experiencing stiffness in her fingers at night, making them difficult to move. She says it takes about 20 minutes after waking up for them to return to normal. What could be the cause of this, and should she see a d...


Dr. Chen Xingyuan Reply:
Dear Netizen: There are many causes of finger stiffness, with the most common being overuse leading to tendon inflammation, which can slow the return of tissue fluid and result in finger stiffness or swelling. It is recommended to reduce hand activities, such as avoiding heavy li...

[Read More] Understanding Finger Stiffness: Causes and When to See a Doctor


Understanding Radial Bone Tumors: Do You Need Further Evaluation?

Radial Long Tumor I would like to ask a question: My sister has been experiencing wrist pain and weakness for the past two days, so she went to the hospital for an X-ray. The outpatient physician mentioned that there is a tumor on the radius, about the size of a ten-dollar coin, ...


Dr. Tan Zhuowen Reply:
Hello, regarding your question, tumors can be classified as benign or malignant, and it is not possible to distinguish between them based solely on appearance or palpation. To establish a diagnosis, it is advisable to undergo a biopsy for more accurate results. Therefore, I recom...

[Read More] Understanding Radial Bone Tumors: Do You Need Further Evaluation?


Understanding Comminuted Ulnar Fractures and Disability Claims

Ulnar wrist comminuted fracture? Hello, I was injured while riding a bike and have a comminuted fracture. I am currently waiting to have the metal pins removed. Can I apply for disability? If so, what level would it be? My last two fingers on my right hand currently cannot fully ...


Dr. Chen Xingyuan Reply:
Dear netizens: The determination of disability must wait until treatment has ceased and it is confirmed that the condition cannot be corrected, resulting in a significant impairment of bodily function. Generally speaking, patients with fractures typically wait about 1 to 2 years ...

[Read More] Understanding Comminuted Ulnar Fractures and Disability Claims


Understanding Radial Bone Tumors: When to Seek Further Evaluation

Radial long tumor My sister recently visited an orthopedic clinic due to wrist pain. After an X-ray, the doctor mentioned a tumor on the radius measuring about 10 cm, located near the elbow on her right wrist. The doctor said it was not a concern. Should we consider further exami...


Dr. Shi Qiming Reply:
It is recommended that a 10 cm tumor located on the radius undergo further examination to determine whether it is benign or malignant before proceeding with the next steps in treatment.

[Read More] Understanding Radial Bone Tumors: When to Seek Further Evaluation


Recovery Insights for Humeral Shaft Fracture After Surgery

Fracture of the right humeral shaft? Dear Dr. Chen, I recently suffered a "humeral shaft fracture" due to a car accident and have undergone "open reduction and internal fixation" surgery. I would like to ask the following questions: 1. At the time of the acc...


Dr. Chen Xingyuan Reply:
Dear Netizens, In cases of humeral shaft fractures accompanied by radial nerve injury, most patients can expect a good recovery of the radial nerve after rehabilitation treatment, typically requiring about six months. However, if there is no significant progress after two to thr...

[Read More] Recovery Insights for Humeral Shaft Fracture After Surgery


Understanding Trigger Finger: Treatment Options and Home Exercises

Trigger finger Trigger finger patients have already received two steroid injections, and the outpatient physician suggested surgery to release the pulley if there is no improvement. Are there other surgical options, such as reducing the size of the nodule or widening the pulley? ...


Dr. Li Wenlin Reply:
Hello: Based on clinical experience and literature, the effectiveness of stretching exercises is limited. More effective methods include oral medication treatment (approximately 30% effectiveness), steroid injections (approximately 50% effectiveness), and surgical treatment (90% ...

[Read More] Understanding Trigger Finger: Treatment Options and Home Exercises


Differentiating Tendonitis from Ganglion Cysts: A Comprehensive Guide

What is the difference between tendinitis and a tendon sheath cyst? Due to a previous summer job involving packaging work, I suddenly developed a lump on my wrist one day (it is very painful when pressed, and sometimes it swells to the point where the entire back of my hand is sw...


Dr. Shi Qiming Reply:
Wrist pain may be due to tendonitis, but the presence of a lump on the wrist could also be caused by a ganglion cyst. It is recommended that you visit an orthopedic clinic for diagnosis and treatment.

[Read More] Differentiating Tendonitis from Ganglion Cysts: A Comprehensive Guide


Understanding Ulnar Fractures: Recovery, Surgery, and Rehabilitation Insights

Ulnar fracture Hello Director Zhang, I suffered a ulnar fracture in my left hand due to a fight at the beginning of April. A friend took me to the emergency room, where the doctor performed an X-ray and applied a cast, instructing me to return for a follow-up in six weeks. In ea...


Dr. Zhang Shengben Reply:
Dear Mr. Liu, I apologize for the delayed response due to my extended personal leave. 1. Generally, steel pins are not inserted at the fracture site; however, in the case of comminuted fractures or depending on the stability of the fixation, it may be necessary to insert pins ...

[Read More] Understanding Ulnar Fractures: Recovery, Surgery, and Rehabilitation Insights


Post-Surgery Wrist Weakness in Children: What Parents Should Know

After the second surgery, I am unable to lift my wrist? Hello Doctor: Our child, who is eight years old, suffered a humeral fracture while running at school on May 13. He underwent surgery the same day to implant a steel pin, and his wrist was normal after the operation. However,...


Dr. Li Wenlin Reply:
Hello: This phenomenon can be addressed by collaborating with a rehabilitation physician and an orthopedic attending physician, while continuing to follow up with orthopedics. If there are any issues, the physician will provide further recommendations. Please communicate frequent...

[Read More] Post-Surgery Wrist Weakness in Children: What Parents Should Know


Understanding Treatment Options for Scapular Neck Fractures

Scapular neck fracture Hello, my mother-in-law suffered a neck fracture of the scapula due to a car accident. Initially, the deputy director (orthopedic surgeon) at Taoyuan Lixin Hospital informed us that surgery was not an option, but he did not provide any further instructions....


Dr. Shi Qiming Reply:
In the case of a neck fracture of the scapula, if there is no severe displacement or impact on the joint surface, surgical intervention is generally not necessary. However, due to its impact on shoulder joint mobility, it is recommended to undergo rehabilitation treatment for sev...

[Read More] Understanding Treatment Options for Scapular Neck Fractures


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