X-ray, Orthopedics FAQ - Page 39

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Recovery Timeline for a 9-Year-Old with a Radius Fracture

Radial fracture in a 9-year-old child? Hello, doctor. Thank you for your clarification and advice. We went to the hospital three weeks after the fracture to have an X-ray taken while wearing a cast. It showed that the fracture at the distal third of the radius is not misaligned a...


Dr. Li Wenhong Reply:
Hello: After the removal of the cast (approximately 6 weeks), you can gradually resume daily activities, including practicing the violin and swimming. However, immediately after the cast is removed, joint mobility may still be limited. Do not push for technique or performance; th...

[Read More] Recovery Timeline for a 9-Year-Old with a Radius Fracture


Understanding Distal Radioulnar Joint Dislocation: Treatment Options Explored

Distal radioulnar joint dislocation Initially, I thought the wrist was just sprained and that rest would suffice. However, I experienced headaches when applying force at certain angles. After getting an X-ray, it was discovered that there is a distal radioulnar joint dislocation....


Dr. Chen Bochen Reply:
Hello WU, regarding your question: The X-ray shows a distal radioulnar joint dislocation. Is surgery necessary? The answer is not necessarily. Here are the reasons: 1. Many radioulnar joint dislocations are congenital and may have no symptoms. It is possible that you discovered ...

[Read More] Understanding Distal Radioulnar Joint Dislocation: Treatment Options Explored


Confusion Over Rib Fractures: Understanding Diagnosis and Treatment Challenges

Rib issues Doctor, I apologize for the interruption. I would like to ask about my mother’s situation. She was in a car accident recently and was initially taken to the emergency room. The emergency physician reviewed the X-ray in the morning and stated that one of her ribs was fr...


Dr. Wang Shouji Reply:
Hello, if there is no obvious displacement of the ribs on X-ray or CT, it is indeed not very easy to assess. The key points are whether there is a pneumothorax and if it affects breathing. If there is a significant amount of pneumothorax, it needs to be drained. If the pain decre...

[Read More] Confusion Over Rib Fractures: Understanding Diagnosis and Treatment Challenges


Understanding Fifth Metatarsal Fractures: Recovery and Rehabilitation Insights

Fifth metatarsal fracture Hello Doctor: On April 26, I suffered a right foot inversion injury that resulted in a diaphyseal fracture of the fifth metatarsal (transverse complete fracture) with slight displacement. The orthopedic surgeon advised against surgery, and I was placed i...


Dr. Chen Bochen Reply:
Hello Ray: 1. It is common to experience stiffness and swelling after having a cast, but 10 weeks is quite a long time. I recommend that you visit a rehabilitation specialist to enhance your recovery and minimize any long-term effects, as there may be adhesions or contractures ...

[Read More] Understanding Fifth Metatarsal Fractures: Recovery and Rehabilitation Insights


Is It a Toe Fracture? Symptoms and Treatment Options Explained

Is it a toe fracture? Two days ago, I used a worn-out insole, and as a result, I injured my foot. Yesterday, the area at the base of my big toe and second toe became swollen, and walking has become extremely painful. I need to elevate my foot, and when I put it down, it becomes c...


Dr. Chen Bochen Reply:
Hello Yoyo, 1. Generally, walking is less likely to cause fractures. If there is any suspicion, getting an X-ray will provide immediate answers, so you won't have to worry continuously. 2. It is recommended to elevate and apply ice for at least 3-5 days. If there is redn...

[Read More] Is It a Toe Fracture? Symptoms and Treatment Options Explained


Managing Coccyx Pain: Recovery Tips for Athletes After Injury

Coccydynia As a player, I fell and hit my coccyx during a match. A few days later, I started feeling discomfort, particularly pain when bending over. Sometimes, I also experience pain when coughing or sneezing. I went to the hospital for an X-ray, and the doctor said there were n...


Dr. Chen Bochen Reply:
Hello, Zhengyi. The coccyx has many ligaments attached to it, and when it is injured, the ligaments can become inflamed, leading to discomfort when sneezing, using the restroom, or bending down and standing up. Generally, it takes about a month to recover around 70-80%. Taking an...

[Read More] Managing Coccyx Pain: Recovery Tips for Athletes After Injury


Understanding Lumbar Pain: When to Consider Surgery for Hip Issues

Lumbar pain Hello, Dr. Wang! Over the past year, I initially experienced soreness and pain on the outer side of my knee after walking for a long time. Six months later, I started to feel pain in my right lumbar region (specifically from the right side of my lower back, through my...


Dr. Wang Jiacheng Reply:
It is recommended that you refer to the information provided by the Ministry of Health and Welfare, as follows: Shared Decision Making (SDM) encourages patients to bravely express their questions and thoughts, helping healthcare providers understand the patients' needs. It a...

[Read More] Understanding Lumbar Pain: When to Consider Surgery for Hip Issues


Understanding Grade 3 Shoulder Separation: Treatment Options and Recovery Insights

Acromioclavicular joint dislocation Hello Doctor: I have a grade 3 acromioclavicular joint dislocation that has not been surgically treated for three weeks. 1. The injury occurred due to a motorcycle collision, where my left shoulder hit the ground. 2. At the emergency room immed...


Dr. Shi Guozheng Reply:
Dislocation of the acromioclavicular joint may not be clearly visible on X-rays due to potential imaging limitations, and it is usually necessary to take the X-ray while standing. If the injured arm is carrying a heavy object, the dislocation may become more apparent. Both surgic...

[Read More] Understanding Grade 3 Shoulder Separation: Treatment Options and Recovery Insights


Walking After Fifth Metatarsal Fracture Surgery: What You Need to Know

Walking after foot metatarsal fracture surgery? I suffered a fracture of the fifth metatarsal in my right foot due to a car accident and underwent surgery to have screws placed. It has been six weeks since the surgery, and I have already had the splint removed. I am currently usi...


Dr. Chen Bochen Reply:
Hello Kevin, Actually, to provide you with a more accurate answer, I would need to see your recent X-rays. However, on average, you can start bearing weight on your fifth metatarsal fracture about six weeks post-surgery. It is important to wear hard-soled shoes; boots, thick-so...

[Read More] Walking After Fifth Metatarsal Fracture Surgery: What You Need to Know


Walking After Fifth Metatarsal Fracture Surgery: What You Need to Know

Walking after surgery for a metatarsal fracture? I suffered a fracture of the fifth metatarsal in my right foot due to a car accident and underwent surgery to insert screws. It has been six weeks since the operation, and I have already had the splint removed. I am currently using...


Dr. Chen Bochen Reply:
Hello Kevin, Actually, I would need to see your recent X-ray to provide you with a more accurate answer. However, on average, you can start bearing weight on your fifth metatarsal fracture about six weeks after surgery. It is important to wear hard-soled shoes; boots, thick-sol...

[Read More] Walking After Fifth Metatarsal Fracture Surgery: What You Need to Know


Post-Surgery Concerns for Fifth Metatarsal Fracture Recovery

Postoperative issues following fifth metatarsal fracture? Hello, Doctor. Thank you for your careful response to my previous question. Based on the chart you provided, the location of my injury seems to correspond to a tuberosity avulsion fracture, which resembles the apophyseal f...


Dr. Chen Bochen Reply:
1. Heat therapy, soaking in warm water is better (slightly warmer than bath water, but avoid burns). 2. Pump exercises involve moving the ankle; the soles of the feet are less significant. 3. If swelling occurs frequently, wearing an ankle brace may help. 4. If there is no pai...

[Read More] Post-Surgery Concerns for Fifth Metatarsal Fracture Recovery


Understanding Abnormal X-Ray Findings in Newborns: Next Steps for Parents

Abnormalities in neonatal bone X-rays? The child was born in April of this year. During prenatal check-ups, the leg bones were found to be approximately 2-3 weeks behind in development, but in the last check-up, the leg bones measured over 6.5 cm. Upon discharge, the pediatrician...


Dr. Li Wenhong Reply:
Hello: Abnormal bone development may be due to genetic abnormalities or mutations, and a diagnosis cannot be made solely based on X-ray images. Please consult a genetic specialist, as there may be other abnormalities beyond the musculoskeletal system, although the bone developmen...

[Read More] Understanding Abnormal X-Ray Findings in Newborns: Next Steps for Parents


Understanding Rib Pain: Causes and Solutions for Teens

Costochondral tenderness? Hello Doctor, I am 14 years old and recently started experiencing unexplained pain in my left chest. I had a chest X-ray and heart examination, both of which showed no issues. The pain is usually sharp, and there is a specific point on the lower right si...


Dr. Li Wenhong Reply:
Hello: If cardiac and pulmonary issues are ruled out, and X-rays do not reveal any skeletal abnormalities, it may be costochondritis, which is common in adolescents. The exact cause is unknown, but it may be due to overuse leading to localized inflammation. Depending on the sympt...

[Read More] Understanding Rib Pain: Causes and Solutions for Teens


Understanding Pediatric Greenstick Fractures: Recovery and Follow-Up Care

Radial fracture in a 9-year-old child? Hello, doctor. My child had a radius fracture that was reduced, but after returning to school, the physical education teacher asked him to participate in a relay race. Concerned about potential displacement, we returned for a follow-up and r...


Dr. Li Wenhong Reply:
Hello: If the physician confirms that the reduction is stable after casting and the cast is not loose, it is not necessary to take an X-ray; this is a clinical judgment made by the physician. However, it is common to perform an X-ray during the 2 to 3-week follow-up to ensure the...

[Read More] Understanding Pediatric Greenstick Fractures: Recovery and Follow-Up Care


Understanding Ligament Injuries After a Car Accident: A Patient's Journey

Knee ligament (car accident) On the evening of June 11, I was involved in a car accident that resulted in a fracture of my right hand and a ligament injury in my left foot. That night, an X-ray confirmed the fracture in my right hand, but there was no fracture in my left foot. Ho...


Dr. Xie Hongjia Reply:
Dear Miss Gao, Regarding your inquiry, it is difficult to determine the situation based solely on your description. We recommend that you schedule an appointment for an in-person consultation at the outpatient clinic. The Hualien Hospital of the Ministry of Health and Welfare c...

[Read More] Understanding Ligament Injuries After a Car Accident: A Patient's Journey


Understanding Neck Injuries from Trampoline Sports: Pain Relief Tips

Neck injury from trampoline exercise? Last Saturday, I went to play on a trampoline and landed on my head, injuring my neck and hearing three pops. Initially, I experienced headaches and back pain, but later it gradually became more painful to lift my head. Now, I feel chest pain...


Dr. Chen Bochen Reply:
1. How long will it take to heal? --> If it's just a muscle strain, it typically takes about 2-3 weeks. If there is a bone injury, it may take 2-3 months. 2. Why does my chest hurt? --> The chest and back muscle groups can affect each other; pain in the front of the ...

[Read More] Understanding Neck Injuries from Trampoline Sports: Pain Relief Tips


Understanding Scaphoid Fractures: Treatment and Recovery Insights

Scaphoid fracture of the right hand? Hello Doctor: Four weeks ago, I suffered a scaphoid fracture in my right hand due to a car accident. The X-ray showed no displacement, so I opted for conservative treatment with a cast. Today, I returned to the hospital to have the cast remove...


Dr. Chen Yongxue Reply:
Hello, with a scaphoid fracture, the main concern is nonunion. If it is confirmed that your fracture is stable and completely non-displaced, it can be treated with a thumb spica cast for four to six weeks to allow for healing before starting rehabilitation. Alternatively, using s...

[Read More] Understanding Scaphoid Fractures: Treatment and Recovery Insights


Understanding Bone Cement Leakage: Symptoms, Causes, and Management

Bone cement leakage On January 30, 2020, I suffered a compression fracture of the T12 vertebra due to a backward fall. I underwent a self-funded balloon kyphoplasty on May 13 and was discharged on May 14. Since then, I have experienced pain and numbness in my lower back and left ...


Dr. Zhan Xian Reply:
Hello, an X-ray and physical examination are needed for diagnosis. A preoperative MRI can also help identify any other issues. Balloon kyphoplasty is a minimally invasive procedure with a small incision and quick recovery, but it does carry risks, such as the possibility of leaka...

[Read More] Understanding Bone Cement Leakage: Symptoms, Causes, and Management


Understanding Ulnar-Radial Ligament Laxity: Symptoms and Treatment Options

Radioulnar ligament laxity Main symptoms: Inability to lift heavy objects with the left wrist, uncontrollable dropping at certain angles, and complete inability to perform weight-bearing actions, accompanied by significant pain. Daily activities are manageable without major issue...


Dr. Zhan Xian Reply:
Hello Tianyun, if there is instability in the distal radioulnar joint and rehabilitation has limited benefits, please visit an orthopedic clinic if you still experience discomfort. Wishing you well!

[Read More] Understanding Ulnar-Radial Ligament Laxity: Symptoms and Treatment Options


Managing Pelvic Fractures After a Car Accident: Surgical vs. Conservative Care

Pelvic fracture from a car accident? Hello, at the beginning of April, my spouse was involved in a car accident that resulted in a pelvic fracture, specifically a fracture below the left hip joint and a comminuted fracture of the left pubis. The emergency physician and the orthop...


Dr. You Dianqi Reply:
Hello, based on your description, it seems intuitive to consider whether your family member's fracture falls into the category of being operable or non-operable. Have you thought about consulting a medical center to find a specialist in pelvic fractures? It would be benefici...

[Read More] Managing Pelvic Fractures After a Car Accident: Surgical vs. Conservative Care


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