X-ray, Orthopedics FAQ

Understanding Calf Pain: When to Seek Specialized Medical Help

Hello: I have calf pain and would like to know which specialty to consult? Hello Doctor: After getting up, I experience soreness in my right calf, and sometimes my right thigh and right side of my lower back also hurt, but the soreness usually goes away after a while. Recently, i...

Dr. Shen Boquan Reply:
Hello, if there is no obvious injury, the most likely cause is overuse leading to inflammation of the soft tissues (such as muscles or tendons). It is advisable to reduce usage or protect the area (for example, by using a lumbar support or changing your usage habits). If the pain...

When Does Bone Callus Form After an Ankle Fracture? Recovery Timeline Explained

Lateral malleolus fracture When does callus formation begin after an ankle fracture, and how long does it take for the callus to be visible on X-rays? For a non-displaced lateral malleolus fracture with a 1 mm shift that does not require surgical fixation, how long will it take t...

Dr. Zhan Xian Reply:
Hello, generally, bone callus forms in about two months, but the healing time for fractures varies from person to person. Regular follow-up is recommended.

Understanding Wire Loosening After Patella Fracture Surgery: Risks and Solutions

Loose wire from patellar fracture fixation? Dear Dr. Wang, I was involved in a car accident on May 1st, resulting in a horizontal fracture of the patella in my left knee, which broke into two pieces. I underwent internal fixation surgery with two steel pins and wires. After the ...

Dr. Wang Shouji Reply:
Hello, the fixation of patellar fractures using steel pins and wires can lead to displacement and malalignment postoperatively, which is not uncommon due to the absence of threads. The patella connects the quadriceps muscle to the lower leg, and removing the steel pins after just...

Clavicle Fracture in Children: Recovery Time and Care Tips

Clavicle fracture Hello Doctor, on June 18th, my son fell and injured his clavicle. An X-ray showed a fracture in that area. Currently, he can move his arm, but it only hurts in certain positions, and the area is still swollen. I would like to ask how long it typically takes for ...

Dr. Li Wenhong Reply:
Hello: Children recover from fractures more quickly. Upper limb fractures take about 4 to 6 weeks, while lower limb fractures take about 6 to 8 weeks. A triangular bandage can be used to immobilize a clavicle fracture, but if the child is younger and unable to cooperate with wear...

Managing Post-Surgery Discomfort: Rib Stent Complications and Solutions

Rib support issues? Hello, doctor. I underwent rib cage stent surgery on June 30th last year. After the surgery, I informed the doctor in the ward that I was experiencing severe foreign body sensation and back pain. At that time, the doctor only mentioned it was PDST (Post-Discha...

Dr. Wang Shouji Reply:
Hello, if the rib surgery was performed by a thoracic surgeon, it is recommended to have a follow-up appointment with the thoracic specialist to assess the healing status of the fractures and determine if they can be removed. If the tissue at the injury site is constricted, it ma...

Managing Patellar Chondromalacia: Rehabilitation and Care Tips

Post-care for patellar chondromalacia? Hello Doctor: Recently, I have been experiencing a crackling sound in my knees when squatting, along with a sensation of stiffness while walking, but there is not much pain. I went to an orthopedic doctor for an X-ray, and the doctor diagnos...

Dr. Shi Guozheng Reply:
You can go to the rehabilitation department to practice strength training and have check-ups every six months. A knee brace can be worn.

Understanding Tibial Stress Fractures: Recovery and Running Tips

Tibial stress fracture Hello: I have a habit of long-distance running. Recently, I experienced pain in my tibia while running, and after an examination, the doctor diagnosed it as a stress fracture, noting cracks on the X-ray. The doctor advised that I do not need medication and ...

Dr. Wang Shouji Reply:
Hello, we need to confirm whether the fracture has completely healed before considering the next steps. Changhua Hospital cares about your health. Wang Shou-ji.

Post-Surgery Leg Pain: Understanding Complications After Bone Cement Procedure

After bone cement surgery, there is soreness in the right thigh? Hello, doctor. My father (height 170 cm, weight 104 kg) was involved in a car accident last month, resulting in a spinal fracture (I believe it was the twelfth vertebra). After being examined at the hospital, he und...

Dr. Chen Bochen Reply:
Hello, common issues after bone cement surgery, aside from cement leakage, include further deterioration of pre-existing degenerative areas due to injury. However, the management of spinal issues heavily relies on imaging studies. It is recommended that you consult with the physi...

Knee Pain Without Periosteum: Causes and Treatment Options

Pain in the knee without the presence of the periosteum? Hello, Doctor. My boyfriend had a car accident when he was a teenager, which resulted in the loss of the periosteum in both of his knee joints. Recently, he has been experiencing knee pain, a symptom that has persisted for ...

Dr. Shi Guozheng Reply:
After a knee joint injury, there is a possibility of developing post-traumatic arthritis, which can lead to pain. The notion of "no periosteum" is not applicable in this context. It is advisable to get an X-ray to identify the specific issue. If it is joint degeneration...

Understanding Pain from Ankle Injuries: Why Is My Lower Back Hurting?

A tear in the ankle joint can cause pain that radiates to the pelvis and lower back? Hello Doctor: I was in a car accident on June 9 and went to the emergency room where I had an X-ray of my ankle, which showed no issues with the bones. However, I have been experiencing severe pa...

Dr. Chen Bochen Reply:
Hello, there are many possible causes of pain after trauma, and it is not possible to diagnose based solely on description; a physical examination and imaging studies are also necessary. However, since you have been experiencing severe pain for over ten days, it is advisable to b...

Persistent Pain After Tibial Plateau Fracture: Possible Causes and Solutions

Five months after a tibial plateau fracture, there is still pain? Hello Doctor: On January 11 of this year, I suffered an injury to my right tibial plateau due to work, which resulted in the anterior cruciate ligament being displaced. I underwent surgery on January 17, where scre...

Dr. Shi Guozheng Reply:
The bone itself may also have a contusion. After the ligaments are fixed back in place, it is necessary to test whether the stability is sufficient. If there are any unstable conditions present, pain may also occur. When ligaments are injured, in addition to the complete displace...

Knee Bump After Motorcycle Accident: Causes and Solutions

Swelling of the knee after a car accident? About six months ago, I fell off my bike and landed on my right foot. At the time, I thought it was just a bruise and did not seek medical attention. About a month later, I noticed a small bump below my knee. I went to see a doctor and h...

Dr. Shi Guozheng Reply:
Medication can be used for treatment, and if there is no improvement, consider local corticosteroid injections. You can consult a physician to determine if this is necessary.

Understanding Knee Pain After Injury: Expert Insights and Treatment Options

Inquiry Consultation Dear Dr. Chen, Hello. At the end of 2017, I was involved in a motorcycle accident that injured my right knee (resulting in bleeding and bruising). I went to an orthopedic doctor for an X-ray, and after reviewing the images, the doctor stated that there were ...

Dr. Chen Bochen Reply:
Hello: Regarding your questions, Q1: Orthopedic diagnosis must be accompanied by physical examination, ultrasound, X-rays, and MRI, so I cannot provide a diagnosis or the underlying cause. Common causes include patellar ligament inflammation and cartilage inflammation. Q2: Un...

Understanding Clavicle Fracture Healing: Bone Callus Formation and Care Tips

The clavicle fracture has not yet formed a callus? I have a fracture of my right clavicle, and the doctor said conservative treatment is sufficient. I am currently using a sling. During my follow-up appointment in the third week, an X-ray was taken, and the doctor mentioned that ...

Dr. Chen Yongxue Reply:
Hello, if the clavicle fracture is in the midshaft, surgery may not be necessary. However, it is important to use a figure-eight shoulder strap along with a shoulder sling for about 6-8 weeks. Supplementing with calcium is beneficial, but please be aware that it may cause constip...

Understanding Knee Injury Recovery: Itching and Sensation Issues Explained

Car accident injuries I had a car accident at the end of March, resulting in a laceration on my right knee that required two layers of stitches: six internal stitches and seventeen external stitches. I have now fully recovered, but I would like to ask why the skin around the scar...

Dr. Wang Shouji Reply:
Hello, the superficial sensory nerve network of the skin can also be damaged due to external injuries, which may lead to decreased sensation; however, this is mostly temporary and will gradually recover without causing significant impact. The sensation of heat is likely due to as...

Understanding Knee Pain After Injury: Causes and When to Seek Help

Knee Consultation Inquiry Dear Dr. Shi, I had a car accident at the end of 2017, injuring my right knee (with bleeding and bruising). I went to an orthopedic specialist for an X-ray, and the doctor stated that there were no issues with my right knee joint (such as fractures, cra...

Dr. Shi Guozheng Reply:
The kneecap, also known as the patella, has synovial tissue present on its anterior surface. Sometimes, when kneeling and making contact, it can cause pain due to inflammation. Additionally, after a collision, there may be a period of pain when transitioning from sitting to stand...

Post-Surgery Insights on K-Leg Tibial Plateau Issues

Post-operative care after surgery for tibial plateau in varus knee (bowlegged) deformity? Case number 182266: The alignment between the thigh and calf is incorrect, confirmed by X-ray on June 2, showing an external rotation of 8 degrees. There is a 50% bone healing under the stee...

Dr. Shi Guozheng Reply:
Your question is not clear enough. If the deformity of the knee joint is due to malalignment, and the osteotomy has been performed correctly based on the angle calculations, then you just need to wait for the healing process. If you have X-rays available for reference, it would h...

Understanding Hard Lumps on the Shin: Causes and Concerns

Tibial bone hard lump in the calf? Hello Doctor, in the past few months, I suddenly noticed a hard lump along the front of my lower leg (which I believe is the tibia). It is somewhat painful when pressed, with a sensation similar to that of a bruise. Initially, I thought it was j...

Dr. Shi Guozheng Reply:
It could be due to calcification after an injury or changes in soft tissue becoming hardened. If there are concerns, it is advisable to get an X-ray.

Can I Still Grow Taller at 17? Insights on Height and Growth Plates

Height issues Hello, Doctor: 1. I am currently 17 years old and about 162.5 cm tall. I have grown over 1 cm in the past six months. Is it still possible for me to reach a height of 165 to 170 cm? 2. When I was 16, I had an X-ray of my growth plates, and the doctor only mention...

Dr. Shi Guozheng Reply:
1. The likelihood is low. 2. It usually won't increase much anymore. 3. There is some correlation between height and exercise, but it must occur before the growth plates close. 4. It's just a legend and cannot be verified.

Understanding Ankle Pain and Plantar Fasciitis: Causes and Solutions

Ankle pain, plantar pain, plantar fasciitis? Hello, Doctor! Two weeks ago, I started experiencing pain on the outer side of both ankles. A few days ago, I went to a clinic for an X-ray, and the doctor mentioned that my stability has decreased. He advised me to wear athletic shoes...

Dr. Shi Guozheng Reply:
If the symptoms do not improve, you may consider visiting another hospital for a second opinion, as the diagnosis is not very certain.

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