Understanding Revision Surgery for Tibial Plateau Fractures: What to Expect
Secondary surgery for tibial fractures? Hello, Doctor. Thank you for your careful response last time. I have some concerns to discuss during today's follow-up visit. I was involved in a car accident on February 11, resulting in a comminuted fracture of the left tibial platea...
Dr. Shi Guozheng Reply:
1. It is uncommon but can sometimes be encountered. 2. It is not that the fracture may have already existed and then gradually collapsed. 3. The healing of bone grafts in this location occurs quickly because it primarily consists of cancellous bone (which heals much faster th...[Read More] Understanding Revision Surgery for Tibial Plateau Fractures: What to Expect
Understanding Proximal Humerus Fractures: Recovery and Rehabilitation Insights
Proximal humeral fracture Hello Doctor, I was in a car accident at the end of last year (12/29) which resulted in a proximal humerus fracture. After consulting four physicians, one suggested surgery (optional), while the other three said surgery was unnecessary. I chose conservat...
Dr. Shi Guozheng Reply:
The current X-ray shows that the fracture is non-displaced. Since it has been less than three months since the injury, your symptoms are within the normal range, and there is no need for concern. The fracture is located near the neck of the humerus, an area that has a higher dens...[Read More] Understanding Proximal Humerus Fractures: Recovery and Rehabilitation Insights
Do You Need a Second Surgery for Misaligned Bone Fractures?
Does a secondary fracture displacement require a second surgery? Thank you, Dr. Wang, for taking the time to answer. My brother had an accident while riding a motorcycle last June, resulting in a closed femoral fracture. Due to insufficient femoral diameter, intramedullary nailin...
Dr. Wang Shouji Reply:
Hello: According to the X-ray, the fracture at the lower end has healed, while the upper fracture may be limited by the lower plate, resulting in a discrepancy. The healing status will depend on the extent of soft tissue detachment from the periosteum during surgery. However, due...[Read More] Do You Need a Second Surgery for Misaligned Bone Fractures?
Managing Tailbone Pain and Leg Discomfort: Non-Surgical Options
Coccydynia with lower limb pain? Hello, Director. Since February 17th until today, I have been experiencing persistent soreness from my lower back (coccyx) down to my lower limbs (thighs, knees, and calves). The primary symptom is soreness. After consulting with an orthopedic spe...
Dr. Chen Yongxue Reply:
Hello, generally speaking, a coccygeal contusion does not present with neurological symptoms. It would be best for you to undergo a physical examination for a proper assessment of your symptoms. Thank you.[Read More] Managing Tailbone Pain and Leg Discomfort: Non-Surgical Options
Understanding Coccyx Fracture: Symptoms, Recovery, and Long-Term Effects
Coccygeal fracture sequelae On February 26, I fell while skiing in South Korea, landing on my back and hitting my tailbone. When I went to a local hospital for treatment, an X-ray revealed that I had a fracture of the coccyx. Upon returning home, I visited the emergency room, whe...
Dr. Shi Guozheng Reply:
1. There will be pain for a period of time after a fracture. 2. Over time, it will improve, and the pain may disappear after six months to a year. 3. Usually, there are no lasting sequelae. 4. No, the fracture does not affect the birth canal, so there is no need for concern...[Read More] Understanding Coccyx Fracture: Symptoms, Recovery, and Long-Term Effects
Persistent Knee Pain After Injury: Understanding Your Options
Persistent knee pain that does not heal? A year ago, I had a fall, and at that time, an X-ray showed no issues. Six months ago, my knee started making noises when bending and straightening, and I began experiencing intermittent pain on the outer side of the back of my knee. I had...
Dr. Shi Guozheng Reply:
After a knee joint injury, both soft tissues and bones can be bruised. Although X-rays may not reveal these injuries, pain can persist for a long time. If there is only noise during movement without pain, it may not be a concern. However, if pain continues or if there is swelling...[Read More] Persistent Knee Pain After Injury: Understanding Your Options
Can Knee Replacement Help Reduce Hunchback in Seniors?
Many years after total knee arthroplasty and kyphosis? Hello, Doctor. Happy New Year! I apologize for the interruption. My mother underwent bilateral knee arthroplasty at the China Post Hospital in Taipei in 2011, likely using titanium alloy. She lives in Changhua and is currentl...
Dr. Wang Shouji Reply:
Hello: The severity of the above conditions must be considered. If an elderly person has been unable to squat for several years, it is quite challenging to regain that ability. Kyphosis is often related to osteoporosis and compression fractures, and a proper assessment requires s...[Read More] Can Knee Replacement Help Reduce Hunchback in Seniors?
Is Knee Stiffness Normal After Femur Fracture Surgery?
Knee flexion issues after femoral fracture surgery? I had a car accident recently and fractured my femur. I underwent surgery, and now it's about the third week. Is it normal that my knee cannot bend? My knee is a bit swollen, but my thigh isn't too swollen. Could there...
Dr. Wang Shouji Reply:
Hello: After a femoral fracture with intramedullary nail implantation, some patients may experience tightness in the knee or, if there is pain, an X-ray should be taken for further evaluation. Changhua Hospital cares about your health. Wang Shou-ji.[Read More] Is Knee Stiffness Normal After Femur Fracture Surgery?
Understanding Swollen Clavicle: Causes, Symptoms, and Next Steps
Swelling of the clavicle? Hello, doctor. I would like to ask about my mother's condition (54 years old). She has significant swelling around her clavicle. She has seen orthopedic specialists, and two doctors mentioned that the bone is injured, while one suggested that there ...
Dr. Shi Guozheng Reply:
Bone swelling may be due to inflammation, trauma leading to fractures, or infection. If medication treatment does not improve the condition, it is necessary to go to a larger hospital for further evaluation, which may include magnetic resonance imaging (MRI) scans.[Read More] Understanding Swollen Clavicle: Causes, Symptoms, and Next Steps
Understanding Hand Numbness: Causes and When to Seek Help
Numbness in the fingers of both hands? Hello, Doctor. I often carry heavy objects with both hands or shoulders. Recently, I woke up one day to find that my left hand fingers were numb. After a few days, the fingers of my right hand also started to feel numb. For the left hand, th...
Dr. Shi Guozheng Reply:
Numbness in the fingers is related to the nerves in the hand. If the median nerve near the wrist is compressed, the second, third, and fourth fingers may experience numbness. Pressing on the palm side of the wrist can elicit numbness (carpal tunnel syndrome). If the compression o...[Read More] Understanding Hand Numbness: Causes and When to Seek Help
Understanding Hip Joint Recovery After Surgery: Common Concerns and Tips
Hip joint issues Dear Doctor: My brother had a car accident on January 1st. He underwent surgery on his knee for traction on the same day, and on January 4th, he had hip joint surgery where two steel plates were inserted for fixation. He recently had a follow-up appointment and a...
Dr. Shi Guozheng Reply:
1. You can perform knee joint extension and flexion exercises, and apply local heat therapy. If the pain persists, you may take some pain relievers to alleviate it. 2. This is normal; recovery after surgery does not happen quickly. 3. Whether you can engage in vigorous exerci...[Read More] Understanding Hip Joint Recovery After Surgery: Common Concerns and Tips
Post-Surgery Concerns: Managing Complications After Knee Surgery
Postoperative issues Hello Doctor, I would like to ask you some questions regarding post-operative issues concerning my father (59 years old). He suffered a comminuted fracture of the right knee on January 8th of this year and underwent surgery at 804. While recovering at home, h...
Dr. You Dianqi Reply:
Hello: First of all, I must express my highest admiration for your filial piety; your writing reveals a deep love for your father. Regarding your father's fracture, it is in the knee, but could you provide me with a more precise location? For example: Is it the patella (knee...[Read More] Post-Surgery Concerns: Managing Complications After Knee Surgery
Understanding Growth Plates: Key Questions About Spinal Development
Issues with growth plates? Hello, Doctor. I have three questions to ask you. Thank you for your patience and enthusiasm! 1. Is it true that each cervical vertebra and the proximal thoracic vertebra also have growth plates? 2. I have heard a claim that after the growth plates i...
Dr. Li Yongheng Reply:
Hello, 1. Each vertebra (including cervical, thoracic, and lumbar vertebrae) has a growth plate located near the intervertebral disc. 2. Indeed, there is literature confirming that after the growth plates in the feet close, the spine can still increase by 14 mm. (Howell et al....[Read More] Understanding Growth Plates: Key Questions About Spinal Development
Understanding Softness and Pain After a Non-Displaced Toe Fracture
Non-displaced fracture of the left fifth toe? I accidentally kicked something while moving and fractured my fourth toe (no surgery needed; the cast was removed after two days, and we were instructed to buddy tape the fourth toe to the middle toe). After a little over a month, the...
Dr. Li Yongheng Reply:
Hello, based on the symptoms you described, it seems to be a normal occurrence. If you are still concerned, you may return for an X-ray examination. Wishing you a speedy recovery.[Read More] Understanding Softness and Pain After a Non-Displaced Toe Fracture
Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Cervical spine issues Hello, Doctor! I have been experiencing pain and numbness in my cervical spine for six months. Initially, I had trouble sleeping and tried several different pillows. Later, I experienced alternating pain in various areas of my neck, usually characterized by ...
Dr. Li Yongheng Reply:
Hello, based on the X-ray alone, there are no obvious abnormalities in your cervical spine.[Read More] Understanding Neck Pain: Causes, Symptoms, and Treatment Options
Hyperbaric Oxygen Therapy for Fibula Fracture Recovery: A Patient's Journey
Hyperbaric oxygen therapy for fibular closure-type fractures? Hello Doctor: I was involved in a car accident on January 19, 2019, which resulted in a closed fibula fracture near the ankle joint that appeared to be slightly displaced. Initially, I was placed in a cast, but after r...
Dr. Li Yongheng Reply:
Hello, current medical literature indicates that hyperbaric oxygen therapy can accelerate the reduction of swelling in the affected limb, but it does not speed up fracture healing.[Read More] Hyperbaric Oxygen Therapy for Fibula Fracture Recovery: A Patient's Journey
Understanding Aircast Ankle Braces for Fracture Recovery: Key Insights
Pneumatic ankle brace for bone fractures Hello, Doctor. On January 7th, I accidentally fell down the stairs and had an X-ray taken. The doctor said I have a fracture in my ankle, but surgery is not necessary. I need to wear a cast for two weeks, after which it will be changed to ...
Dr. Li Yongheng Reply:
Hello, an ankle fracture can be stabilized using a pneumatic ankle brace. Since your fracture has been present for 23 days, you can remove the brace for showering, but you should not put weight on it, as this will not affect the healing of the bone. In principle, you should avoid...[Read More] Understanding Aircast Ankle Braces for Fracture Recovery: Key Insights
Clavicle Fracture Recovery: When Can You Resume Normal Activities?
In the case of a clavicle fracture treated conservatively, when can one return to normal activities? Two months ago, I had a car accident that resulted in a displaced clavicle fracture. Since the displacement was minimal and it was a closed fracture, the doctor mentioned that sur...
Dr. Shi Guozheng Reply:
1. Three months; removing it too early may cause displacement. 2. If it has been fixed for more than two months, it can be temporarily removed for bathing. 3. It is safer to wait until three months. 4. Three months. 5. Allow the arm to hang down and perform pendulum exerc...[Read More] Clavicle Fracture Recovery: When Can You Resume Normal Activities?
Why Can't I Bend My Fingers After a Hand Injury?
The middle finger and ring finger of the left hand are unable to bend? Hello, Doctor. About a month ago, I had an accident with a wild dog and injured my finger. I went to see an orthopedic specialist, and an X-ray showed that my middle finger has a tear fracture, while my ring f...
Dr. Li Yongheng Reply:
Hello, one month ago you sustained a tear fracture of the middle finger and a contusion of the ring finger. You are experiencing limited finger mobility and are unable to fully extend or flex the fingers. It is recommended that you schedule an appointment with a rehabilitation sp...[Read More] Why Can't I Bend My Fingers After a Hand Injury?
Is the Cost of Arthroscopic Shoulder Surgery Hardware Justified?
Shoulder arthroscopy surgery: issues with screws? Hello, doctor. I have a habit of shoulder dislocation. I have had an MRI done and have been evaluated by a physician who recommended arthroscopic shoulder surgery. He mentioned that opting for self-pay would be better, but a singl...
Dr. Zhan Xian Reply:
Habitual shoulder dislocation requires physical examination, X-rays, MRI, and other assessments. Student Wang has already undergone these examinations. Your original attending physician should have explained the causes of the condition and the treatment objectives. If you have qu...[Read More] Is the Cost of Arthroscopic Shoulder Surgery Hardware Justified?