Subscribe
43
Li Jie
Orthopedics
About me
Male, graduated from the Department of Orthopedics, Beijing University of Traditional Chinese Medicine in July 2003. Holds a bachelor's degree. Has been working in the Department of Orthopedics at Laiwu Traditional Chinese Medicine Hospital in Shandong Province since graduation. Engaged in clinical work in orthopedics for 12 years. Possesses comprehensive theoretical knowledge and clinical experience in orthopedics.
Proficient in diseases
Treatment of complex traumatic fractures, repair of soft tissue defects and injuries, diagnosis and treatment of hip and knee joint diseases, unique insights in minimally invasive joint treatment and joint replacement, and rich clinical experience have been accumulated.
Voices
How to treat rib fracture and pneumothorax?
After a rib fracture, if a pneumothorax occurs, it is a very serious complication. There are three types of pneumothorax: closed pneumothorax, open pneumothorax, and tension pneumothorax. The simplest is the closed pneumothorax. If the area of lung compression in a closed pneumothorax is less than 30%, there is a hope for self-healing, and generally no special treatment is needed; if the lung compression exceeds 30%, it might be necessary to place a closed thoracic drainage tube to drain the air accumulating in the chest cavity, which may need to stay in the chest cavity for about a week. This is the treatment for a closed pneumothorax. If it is an open pneumothorax, it means there is an open wound on the chest. The treatment principle is to convert the open pneumothorax to a closed pneumothorax, which means sealing the wound, turning it into a closed pneumothorax, and then taking x-rays to assess the degree of lung compression. If the compression is significant, closed thoracic drainage is still necessary; if the compression is less severe, observation can continue. For a tension pneumothorax, it is the most severe type of pneumothorax and must be taken very seriously. Emergency placement of a closed thoracic drainage is recommended and must be handled promptly, as it could pose a life-threatening risk. In summary, once a pneumothorax occurs following rib fractures, it must be taken seriously. It is necessary to go to the hospital's thoracic surgery or orthopedic department for formal and timely treatment to prevent potentially severe consequences.
Does a fracture hurt?
A fracture is an interruption in the continuity of a bone. After a fracture, there is significant bleeding at the site, along with bruising of the soft tissues nearby, including bleeding from blood vessels and bruising of muscles and tendons. Because these soft tissues are rich in nerves, the pain at the site of the fracture can be very severe. Pain is a primary symptom for patients with fractures. Other symptoms may include swelling, limitation of joint movement, potential deformities, and changes in the local shape. Pain, deformity, and limited function are the three common signs seen in patients with fractures.
How to treat rib fractures well?
Rib fractures are very common. We consider fractures of three or fewer ribs to be stable fractures, which generally only require local external fixation using a rib belt or chest wrap to stabilize the fracture and alleviate pain. Additionally, treatments can include drugs that activate blood circulation and reduce stasis, anti-swelling and pain relief drugs, or non-steroidal anti-inflammatory drugs. Then, the fractures can heal on their own. However, if more than three ribs are fractured, we consider it an unstable fracture, which may need to be fixed. Such cases might require surgery to reposition and stabilize the fractured bones. Rib fractures themselves are not very concerning; what is concerning are the complications, such as hemothorax or pneumothorax. If conditions like pleural effusion or pneumothorax occur, it is advised to perform closed chest drainage by inserting a drainage tube to release the accumulated blood and air to avoid severe complications. Rib fractures do not require special treatment; with effective stabilization and treatment, most can fully recover.
How to treat rheumatoid arthritis?
Rheumatoid arthritis-induced joint pain has several distinct characteristics: The first is that it initially affects the small joints of the limbs, typically involving the hands, feet, wrists, and ankles, before spreading to larger joints. It rarely starts in the large joints first. Secondly, the onset is generally symmetrical, meaning it seldom affects just a single limb or joint. Typically, if the disease manifests, it affects both limbs simultaneously. Another characteristic is significant morning stiffness, meaning a feeling of stiffness upon waking up in the morning. Generally, by combining auxiliary tests such as blood tests and imaging, a clear diagnosis of rheumatoid arthritis can be made. Once diagnosed, it is advised that patients seek treatment at a reputable hospital in the rheumatology and immunology department or orthopedics, targeting specific treatments and avoiding unlicensed practitioners. Common rheumatoid arthritis treatment plans start with medications to alleviate symptoms, using immunosuppressants. In severe cases, a small, short-term dose of steroids may be used. Additionally, symptomatic treatment may include topical applications of ointments to improve blood circulation, reduce swelling, and alleviate pain. Patients can also take non-steroidal anti-inflammatory drugs orally to relieve symptoms. Furthermore, traditional Chinese medicine is also a very effective method, and patients can take specific herbal medicines as symptomatic treatment for rheumatic joint pain, which are also very effective. (Please follow a professional physician's guidance when using medications and do not medicate blindly.)
How to care for a rib fracture
For a rib fracture, first, the patient should pay attention to rest. Local effective and secure external fixation should be done. You can tie a chest band or a rib fixation band on the affected area to stabilize the fracture, which can effectively relieve pain and is beneficial for the healing and growth of the fracture. Then, in terms of diet, it is important to consume high-protein, high-energy, high-nutrient, low-fat, and easily digestible food, such as fish, milk, eggs, lean meat, shrimp shells, and some fresh vegetables. These foods are rich in nutrients and also contain a lot of calcium, which helps the healing of fractures. This is the method of recuperation for a rib fracture.
Can you move with a rib fracture?
After a rib fracture, the patient's limbs can still move, and movement of the limbs should generally not pose major problems. However, excessive movement can sometimes cause pain, as well as movement and displacement at the fracture ends. Therefore, it is generally advised that after a rib fracture, the patient should primarily rest and minimize movement, especially within the first two weeks of the acute phase, where bed rest is strongly recommended. Avoid strenuous activities, although some gentle exercise can be appropriate, but vigorous physical labor is not advised.
What department should I go to for osteophyte?
Strictly speaking, bone hyperplasia itself is not a disease diagnosis, but a radiological diagnosis. That is to say, if a patient goes for an X-ray, it might be discovered that there is bone hyperplasia in the cervical or lumbar spine. However, this bone hyperplasia may not necessarily cause symptoms; some patients may have very obvious bone hyperplasia but experience no pain or restricted movement. In such cases, medical consultation is not necessary. If the bone hyperplasia causes pain or symptoms like restricted joint movement, then these conditions might require medical attention. Generally, it is recommended that patients consult an orthopedist first, as orthopedics is a specialized field that can play a role in triaging and broadly determining the direction of treatment. Therefore, it is advised that patients with bone hyperplasia, who wish to seek medical advice, should see an orthopedist first.
Symptoms of bone fracture
Bone fracture, as the name suggests, is a type of fracture characterized by a crack in the bone. Since it is a fracture, it shares all the common characteristics of fractures. Firstly, there is pain. The pain at the site of the bone fracture is very evident. Secondly, there is swelling. Local swelling should also be very apparent. Although it might be less severe than general displaced fractures, it is more pronounced than the swelling from soft tissue contusions. Thirdly, there is limited functionality. After a bone fracture, due to severe pain, sometimes, as the continuity of the bone is interrupted, the lever action of the bone may be reduced or lost, hence, the patient's limb movement will be restricted. Additionally, fractures have two characteristic complications: abnormal movement, and bone crepitus or bone friction sensation. Another possible sign is deformity. However, because patients with bone cracks often do not have noticeable displacement, deformity is not significant. However, during a physical examination of the patient, bone crepitus or bone friction sensation might be detectable. Yet, due to the lack of significant displacement, it is not necessary to forcefully elicit these signs. In cases where there is evident pain, swelling, and restricted activity, bone fracture should be suspected and it is advised that the patient should promptly visit a hospital for radiographic confirmation to avoid delays in diagnosis and treatment.
Will rib fractures swell?
Generally, swelling after a localized fracture is due to damage to the blood vessels in the area of the fracture. The bleeding that follows accumulates under the skin at the fracture site, causing obvious swelling. However, rib fractures are somewhat unique because after a rib fracture, the bleeding generally occurs internally, meaning the blood enters the chest cavity, leading to accumulation of blood and fluids within the chest. Generally, the blood does not accumulate under the skin. Therefore, rib fractures typically do not exhibit obvious swelling. There might be some local swelling, but it is usually not prominent. If not examined closely, it is generally not noticeable that there is significant swelling at the site of a rib fracture.
How to recover from ligament damage
Recovery from ligament damage should be divided into two phases. The first phase is the acute phase of the ligament injury, which generally occurs within three weeks after the injury. During these three weeks, it is recommended to immobilize and minimize movement to create favorable conditions for the growth and repair of the ligament. During this period, heat application can be beneficial, and oral medications that promote blood circulation, remove blood stasis, reduce swelling, and relieve pain can be taken to facilitate the repair of the ligament. After three weeks, the continuity of the ligament is usually established. During this period, it is necessary to enhance functional exercises to prevent joint adhesion. Under the guidance of a physician, joint movements should be strengthened, combined with oral medications for promoting blood circulation, removing blood stasis, reducing swelling, and relieving pain, and also include local heat application and possibly physical therapy. With these comprehensive treatment measures, generally, a good recovery outcome can be achieved.