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Lv Yao
Orthopedics
About me
Shandong First Medical University Second Affiliated Hospital, Orthopedics, Attending Physician, has been engaged in clinical work in the field of orthopedics for many years, with rich clinical experience in the diagnosis and treatment of orthopedic systemic diseases.
Proficient in diseases
Specializes in common conditions such as muscle injuries, muscle ruptures, tendon injuries, and bone damage.
Voices
What is the best treatment for a bone fracture?
A bone fissure, also known as a crack fracture, involves only a cortical crack, with no significant compromise to the bone's firmness and stability. Therefore, conservative treatment can be chosen for a crack fracture, using supports or external fixation to promote healing and recovery of the fracture. However, during the external fixation process, it is crucial to monitor the limb's blood circulation and sensation to prevent symptoms associated with high pressure in the basement membrane.
How to exercise with a patellar fracture?
After a patella fracture, it is necessary to fix and immobilize the patella for some time. During the immobilization, knee joint stiffness may occur, affecting the flexion and extension movements of the knee. Therefore, while treating a patella fracture, it is also important to guide the patient in functional exercises. For example, during the early stages of immobilization, the patient can actively contract the quadriceps femoris and the triceps surae to prevent thrombosis. This muscle exercise can also help avoid muscle atrophy. Additionally, patients can be instructed to dorsally extend the ankle joint to strengthen the ankle pump training and avoid ankle stiffness. Once the fracture is stabilized, the patient can sit beside the bed and let the knee bend naturally. When close to the bed, the knee can bend up to ninety degrees. If natural bending is difficult, the healthy limb can be used to push the injured limb closer to the bed, allowing the knee to bend to ninety degrees. After reaching ninety degrees, it might be appropriate to use crutches for walking activities. If bending beyond ninety degrees is necessary, the patient should lie flat on the bed, hug the thigh of the injured limb with both hands, flex the hip joint, and then allow the knee joint to bend through gravity beyond ninety degrees, approaching the normal range.
Symptoms of Periarthritis of the Shoulder
Periarthritis of the shoulder refers to aseptic inflammation of the ligaments, joint capsules, and tendons around the shoulder joint due to chronic strain. This condition is characterized by localized pain, limited mobility, and typically rest pain. There is limited ability to perform movements such as abduction, elevation, and extension during active motion, and an increase in pain during passive movement. It is also necessary to rule out injuries to the rotator cuff or labrum to diagnose periarthritis of the shoulder.
How to treat a lumbar compression fracture
A comminuted fracture has occurred in the lumbar vertebrae, and the treatment method should be chosen based on the degree of displacement of the fracture, that is, the occupancy within the spinal canal and the extent of compression of the lumbar fracture. Generally speaking, if there is significant compression inside the spinal canal, and the height of the vertebral body of the lumbar spine is also greatly compromised, surgical intervention is necessary to restore the height of the vertebral body. If necessary, decompression inside the spinal canal should be performed to relieve pressure on the spinal cord, alleviate symptoms, and facilitate early functional recovery of the patient.
Age of onset of osteophyte formation
Bone hyperplasia is generally caused by degenerative changes that form bony structures, leading to localized pain. In severe cases, it can press on important nerves, causing a range of symptoms. Bone hyperplasia is generally a result of aging-related degeneration and is common in the elderly. However, heavy laborers or athletes can also develop localized bone hyperplasia due to repeated strain and injury. For example, football players may experience bone hyperplasia in the ankle and knee joints, while weightlifters may develop it in their lower back. Therefore, the age at which bone hyperplasia occurs varies depending on specific circumstances.
Tendon sheath inflammation is what?
Tenosynovitis refers to a non-infectious inflammation of the tendon and its surrounding sheath, caused by repetitive stretching of the tendon. This inflammation can lead to local swelling, exudation, and even adhesions. In severe cases, the sheath may press on the tendon, resulting in symptoms of trigger finger. If tendinitis occurs, the early symptoms are mild and can be treated conservatively, such as with rest, immobilization, topical non-steroidal anti-inflammatory and analgesic medications, and even localized injection treatments. If symptoms are severe and the compression is significant, surgery may be required to remove the constricting sheath to relieve symptoms. (Please use medication under the guidance of a doctor)
How to exercise with a patellar fracture?
After a patellar fracture occurs, through immobilization or surgical treatment, it's possible to actively contract the quadriceps early on to strengthen muscle exercise and avoid muscle atrophy. Ankle pump exercises can also be performed, which are beneficial for the contraction of the calf muscles in the lower limbs, can help prevent thrombosis, and aid in the recovery of function. After the removal of external fixation or once the wound has healed, one can actively flex the knee joint. For example, by sitting at the edge of the bed with the knee naturally hanging, the knee joint can be flexed to 90 degrees. If there is difficulty in bending, one can push the healthy limb backward against the injured limb to help bend the knee joint. For exercises exceeding 90 degrees, one can lie flat on the bed, then flex the hip joint while holding the thigh of the injured limb with both hands, and allow the knee joint to naturally bend through gravity. This exercise can help restore the flexion and extension functions of the knee joint.
What is good to eat for fractures?
If a fracture occurs, it is recommended to start with a light diet, consuming easily digestible foods such as leafy greens and porridge to facilitate the recovery of gastrointestinal function. Once the condition stabilizes, you can add foods rich in protein and calcium, such as beef, eggs, bean products, and milk, which are all good sources of protein and calcium. It is advisable not to consume foods that are too high in fat as they can lead to weight gain and also interfere with the absorption of calcium.
What department should I go to for tendon sheathitis?
Tendinitis refers to a sterile inflammation of the tendon sheath around the tendons, caused by chronic strain, characterized by local pain and limited mobility. If tendinitis occurs, it is recommended to seek medical attention at the orthopedics department of a formal hospital. After assessing the extent of the inflammation and its impact on movement, and determining the presence of symptoms of constrictive tendinitis, an appropriate treatment method can be selected. In the early stages, conservative treatment such as rest and topical non-steroidal anti-inflammatory pain medications can be used. If the symptoms are severe, surgery may be required to remove the narrowed tendon sheath or the inflamed sterile tendon sheath to alleviate symptoms.
Is soaking feet good for bone fractures?
Bone fissures are actually a type of fracture, characterized by cracks in the cortical bone, but the stability of the bone remains intact. In the early stages of a bone fissure, immobilization is necessary, along with appropriate cold compresses and rest. After the acute phase, warm compresses can be applied, symptomatic treatment is given, and soaking the feet may be helpful to improve peripheral circulation, aiding in the healing of the fracture. However, immobilization should still be maintained, avoiding excessive walking and activities that might worsen the severity of the fissure.