Understanding the Severity of Right Distal Radius Fractures: Surgical Necessity
Distal right radius comminuted fracture issues? Dear Dr. Shih Kuo-Cheng, The patient has already undergone X-ray imaging at another medical facility, which diagnosed a "right distal comminuted radius fracture." However, due to strong objections from the family against ...
Dr. Shi Guozheng Reply:
The best treatment method for a distal radius comminuted fracture is open reduction and internal fixation with bone screws, as this yields the best results. If conservative treatment is chosen instead of surgery, it is likely that surgery will still be necessary in the future, wh...[Read More] Understanding the Severity of Right Distal Radius Fractures: Surgical Necessity
Post-Knee Surgery Concerns: Recovery Timeline and Expectations
Post-operative issues after knee surgery? I underwent an open reduction and internal fixation of my knee, and four titanium screws were added during the surgery. It has been two months since the operation, but there is still some swelling in my knee that has not completely resolv...
Dr. Shi Guozheng Reply:
Typically, it takes about three months for a fracture to heal. To determine if it has fully healed, an X-ray is necessary. Currently, being able to bend the joint to 90 degrees is reasonable, and you can continue with rehabilitation.[Read More] Post-Knee Surgery Concerns: Recovery Timeline and Expectations
Understanding Finger Injuries: When to Seek Orthopedic Care
Finger injury Hello Dr. Lee, my little finger was hit by a heavy object and it hurt for a moment but then felt fine, with no visible injury. However, three days later, I started experiencing pain when bending it. Is there a possibility of a fracture, or what could be causing this...
Dr. Li Wenhong Reply:
Hello: Please see the orthopedic outpatient clinic and obtain an X-ray if necessary. Changhua Hospital Orthopedics, Dr. Li Wen-Hong.[Read More] Understanding Finger Injuries: When to Seek Orthopedic Care
Post-Operative Concerns After Hip Replacement Surgery in Osteoporosis
Postoperative care after total hip arthroplasty? Hello, doctor! My mother is 60 years old and has osteoporosis. Last year, she underwent a total hip arthroplasty on her left leg. However, less than two weeks post-surgery, she accidentally fell, causing the artificial hip joint to...
Dr. Chen Yongxue Reply:
Hello, if an injury occurs shortly after surgery, causing a change in the angle of the artificial hip joint, it is still recommended to undergo revision surgery. However, repeating surgery in a short period increases the risk of infection. Whether the revision surgery can restore...[Read More] Post-Operative Concerns After Hip Replacement Surgery in Osteoporosis
Knee Pain After Car Accident: Seeking Effective Treatment Options
After the car accident, the pain in the back and inner side of the knee has been increasing and becoming more severe? Hello, my mother is 69 years old. At the end of August this year, she was involved in a car accident and was hospitalized. At that time, she immediately reported ...
Dr. Chen Yongxue Reply:
Hello, if there are significant changes in the patient's condition before and after the injury, it is likely that some trauma exists. X-rays can only reveal bone-related issues, and their ability to assess soft tissue is quite limited. It is recommended to return to the orig...[Read More] Knee Pain After Car Accident: Seeking Effective Treatment Options
Understanding Genetic Risks of Ankylosing Spondylitis: Key Questions Answered
Genetic Issues Related to Ankylosing Spondylitis Hello Dr. Wang, 1. I have ankylosing spondylitis, but neither of my parents has this condition; only my aunt has rheumatoid arthritis. Is the likelihood of inheritance high, or are there other ways to develop this disease? 2. The...
Dr. Wang Shouji Reply:
Hello, in addition to X-rays, the diagnosis of ankylosing spondylitis also involves testing for HLA-B27. If both tests are positive, a definitive diagnosis can be made. Regarding its diagnosis and genetic implications, it is recommended to consult a rheumatologist. Symptoms of an...[Read More] Understanding Genetic Risks of Ankylosing Spondylitis: Key Questions Answered
Understanding Clavicular Prominence: Causes and Treatment Options
Clavicular prominence I didn't have this issue before, but in the past three years, I've noticed that the area near the tip of my left clavicle is particularly prominent (the right shoulder appears normal without any noticeable protrusion). Beyond the acromion, it looks...
Dr. Wang Shouji Reply:
Hello, the prominence of the acromioclavicular joint is often caused by trauma or occupational factors, which can lead to compression and friction on the underlying rotator cuff tendons, resulting in symptoms. If there is no significant discomfort affecting daily life or work, no...[Read More] Understanding Clavicular Prominence: Causes and Treatment Options
Is It Normal to Feel the Coccyx Through the Vaginal Wall?
The coccyx can be palpated through the vaginal canal? A few months ago, I had a fall and experienced pain in my coccyx, but the pain subsided after a few days, and I didn't seek further medical attention. Today, I noticed that I can feel the coccyx bone through the posterior...
Dr. Chen Bochen Reply:
Hello, the vagina is separated from the coccyx by the rectum, and the distance is quite significant. What you are feeling is likely not the coccyx. The soreness you are experiencing may be due to ligament strain. It is advisable not to do this frequently, as it could lead to infl...[Read More] Is It Normal to Feel the Coccyx Through the Vaginal Wall?
Convincing a Reluctant Parent to Seek Medical Help for Wrist Injury
My mother has a dislocated wrist but refuses to seek medical attention? Hello, doctor! My mother was injured in a car accident at the end of July. She not only refused to go to the emergency room but also does not want to see a Western medicine doctor, insisting instead on treatm...
Dr. Zhan Xian Reply:
Hello Mr. Chen, I understand your concerns for your mother after reading your description. If there is visible deformity in her wrist following the injury, it often indicates a fracture, which requires an X-ray for confirmation. Since it has already been three months, she may hav...[Read More] Convincing a Reluctant Parent to Seek Medical Help for Wrist Injury
Understanding Radial Bone Displacement After Surgery in Children
Displacement after surgery for a radius fracture? Hello Doctor, my daughter is about to turn nine years old. A month ago, she underwent minimally invasive surgery for a fracture of the radial bone in her elbow (the X-ray at that time showed that the radial bone was repositioned)....
Dr. You Dianqi Reply:
Hello, children's fractures can tolerate greater degrees of displacement and angulation due to their enhanced remodeling capacity. From your description in the article, it seems that your attending physician is not overly concerned. I think you should be able to relax a bit,...[Read More] Understanding Radial Bone Displacement After Surgery in Children
One Month Post-Car Accident: Persistent Right Shoulder Pain and Limited Mobility
One month after the car accident, I am unable to move my right hand as I used to? On September 23, I was involved in a car accident and sustained multiple contusions on the right side of my body. At the time, my right shoulder was extremely painful, but after an X-ray examination...
Dr. Li Wenhong Reply:
Hello, Miss Lin! Recovery from multiple contusions may take longer, and you may not be able to regain your full range of motion in a short period. Experiencing pain during larger movements indicates that the strain has not fully healed or that the movement exceeds the muscle'...[Read More] One Month Post-Car Accident: Persistent Right Shoulder Pain and Limited Mobility
Will Long-Term Cast Positioning Affect Recovery from Radial Fracture?
Cast immobilization for a radial fracture? Hello doctor, I have a fracture at the elbow of my right radius due to a fall, and my right arm has been in an L-shaped position in a cast for a month. Will my hand be unable to straighten out after recovery due to the prolonged L-shaped...
Dr. Zhan Xian Reply:
Hello, sir. Your issue requires an X-ray interpretation. You can visit our orthopedic outpatient clinic or follow up with the physician who originally treated you.[Read More] Will Long-Term Cast Positioning Affect Recovery from Radial Fracture?
Understanding Bone Pin Migration: Challenges and Solutions in Orthopedic Care
Bone screw displacement issue (unable to remove)? Hello Doctor, 1. In January of this year, I underwent surgery for a fracture of the fourth toe on my right foot, where a bone screw made of a bioabsorbable material was inserted, which does not require removal through another su...
Dr. Chen Bochen Reply:
Hello, 1. Typically, the hospitalization for the removal of bone screws lasts about two days, and there is no need for a recovery period. Just make sure to keep the wound dry and avoid covering it tightly. 2. It's okay if the bone screw cannot be located; usually, partial...[Read More] Understanding Bone Pin Migration: Challenges and Solutions in Orthopedic Care
Assessing the Need for Knee Arthroscopy: Unidentified Lesion Below Patella
MRI imaging shows an unidentified mass beneath the patella, raising concerns regarding potential issues for arthroscopic surgery? Hello Doctor, In mid to late August, I experienced swelling in my right knee and tight pain when squatting completely, although I had no issues with...
Dr. Chen Bochen Reply:
Hello: Your MRI findings are more indicative of OCD (osteochondral defect). It is generally recommended to surgically remove it. Typically, arthroscopy can be used for removal, but since your OCD is relatively large, it may pose some challenges during arthroscopic removal, though...[Read More] Assessing the Need for Knee Arthroscopy: Unidentified Lesion Below Patella
Understanding Misaligned Screws or Plates: What to Do Next?
The steel nail or steel plate is slightly misaligned? Today, during my follow-up appointment, I had an X-ray taken. The doctor mentioned that my metal rod or plate (I can't remember which) is slightly misaligned and asked if I had accidentally stepped on it. I told him that ...
Dr. Chen Bochen Reply:
Hello, your question actually requires an X-ray for a more accurate answer. In the case of a lower limb fracture with a steel plate, there are typically 3-4 screws (or bolts) at each end. If fewer than two screws remain intact, there is a risk that surgery may be needed again. Ho...[Read More] Understanding Misaligned Screws or Plates: What to Do Next?
Understanding Rib Pain: Inflammation, Tumors, and Treatment Options
Costochondritis? Osteoma? I have been experiencing rib pain since I was 17 years old. At that time, the doctor only mentioned it was growing pains. Two years ago, the pain in my costal cartilage became more severe, even affecting my sleep. After getting an X-ray, the doctor said ...
Dr. Chen Bochen Reply:
Hello, 1. First, it's important to understand that a problem that has troubled you for many years will not be resolved by a single method, nor will a quick online inquiry suddenly provide clarity. 2. Maintaining a regular exercise routine can enhance your body's self...[Read More] Understanding Rib Pain: Inflammation, Tumors, and Treatment Options
Understanding Pain in the Middle Toe After Hitting Furniture: Is It a Fracture?
Pain in the middle toe after kicking a metal piece of furniture? Hello Dr. Chen: Last night, I accidentally kicked a metal piece of furniture in the dormitory, and now my left middle finger is painful. I have limited range of motion, especially when trying to extend it upwards, w...
Dr. Chen Bochen Reply:
1. An X-ray can determine if there is a fracture. 2. Applying ice and elevating the foot for a week can help reduce pain. 3. A toe fracture typically takes one to two months to heal.[Read More] Understanding Pain in the Middle Toe After Hitting Furniture: Is It a Fracture?
Understanding Recovery After a Tibia Fracture: Pain and Mobility Concerns
Fracture of the left femur due to a car accident? Hello, doctor. I was in a car accident on September 21 and fractured my left femur. I underwent surgery on September 22, where titanium alloy intramedullary nails were used for support. As of now, my knee still cannot bend normall...
Dr. Wang Shouji Reply:
Hello, the intramedullary nail for the femur, due to the presence of distal locking screws, can commonly affect knee joint mobility. However, this usually alleviates over time. It is advisable to perform knee flexion and extension exercises, and avoid weight-bearing until the X-r...[Read More] Understanding Recovery After a Tibia Fracture: Pain and Mobility Concerns
Rehabilitation After Patellar Fracture Screw Removal: Key Recovery Tips
Rehabilitation after screw removal surgery for patellar fracture? Hello, doctor! I have a patellar fracture in my knee due to a car accident, which broke into three large pieces and several smaller fragments. I had a health insurance-covered surgery with bone screws, but the firs...
Dr. Chen Bochen Reply:
Hello, regarding the general conditions after a patellar fracture, the decision about your personal situation should be made by your surgeon based on the surgical status, X-rays, and physical examination. (1) After the removal of the screws, when can I bend my knee to 90 degree...[Read More] Rehabilitation After Patellar Fracture Screw Removal: Key Recovery Tips
Understanding Shoulder Pain: Causes, Treatments, and When to Seek Help
Shoulder pain? Hello doctor, my right shoulder has been occasionally sore since May and June, but it would feel better the next day. In early July, I woke up one day with sudden soreness, so I went to the hospital for an X-ray. The doctor said the bones looked normal and it might...
Dr. Chen Bochen Reply:
Hello Wenwen: If frozen shoulder lasts for more than three months, the success rate of treatment through rehabilitation alone is very low. It is recommended to consider the "New Joint Mobilization Technique," which includes many successful treatment cases for frozen sho...[Read More] Understanding Shoulder Pain: Causes, Treatments, and When to Seek Help