Orthopaedic & Sports

Dear Justin,

That would be a little unusual. Typically, stitches are removed after 14 days but the doctor may elect to leave them in for a little longer to aid wound healing if the wounds are slower to heal. However, 36 days could be a little longer than expected. Please consult with your doctor

Hello Rocky, sounds like you sustained an injury to the Achilles which may have led to some persistent tendinitis in the tendon. Treatment is certainly available and can range from physiotherapy, injections to surgery depending on the severity. Would be good to get it checked out by a sports or ankle specialist. 

Hi

It is common to lose range of the shoulder or the neck (cervical spine) after a sprain injury due to muscular spasm, pain or tightness. 

It will be advisable to have an orthopaedic surgeon evaluate you by way of clinical examination to ascertain if the problem is with the shoulder or the cervical spine. The loss of strength and inability to raise your arm above shoulder level seems to point to a rotator cuff injury. If there was a suspicion of rotator cuff injury or tear, or a slipped disc of the cervical spine, a MRI scan of the affected region would be highly recommended. 

These issues can be addressed with analgesia and physiotherapy. If the scans reveal a rotator cuff tear or a significant nerve compression from a slipped disc - only then is surgery advised. 

It's been 3 years since the surgery. If there is pain and crepitus, you should get an Xray and MRI of the wrist to evaluate the current situation. 

Hi Jsmum,
Thanks for sharing this interesting case. Lesser toe deformities in children can be quite common as they grow. Deviation of the toe is usually referred to as curly toe deformities and typically get better as the child grows and wears more closed shoes. Of course, it is important to exclude other causes like a local growth pushing the toe out or a fracture. If the pain from rubbing on the deviated toe is causing more pain, I would suggest consultation with a foot & ankle specialist. 

Dear @leonida_hegmann There appears to be a displaced fracture of the right clavicle. You should have a discussion with the orthopedics surgeon managing your mother and discuss surgical and non surgical options. You can check with them how long her recovery is likely to take and optimise her sugar control before, during and after surgery. Hope this helps.

Dear Rach

I would suggest getting an Xray of the elbow to rule out a fracture or any possible dislocation. It's not uncommon to have a fracture of the elbow when there is axial loading post fall from a bicycle. Especially since your range of movement is limited, I am concerned about any possible bleeding into the joint and swelling that could arise from a fracture or dislocation or ligament tear. 

It would be recommended to see an orthopaedic surgeon to do a detailed examination of the elbow and evaluate with Xrays or even possibly a MRI scan.

Hi @edgar this is something that needs to be examined! Have you had an injury to the coccyx before, such as a high impact fall directly landing in a seated position on the floor? Mild-moderate Scoliosis itself is not expected to contribute to such symptoms - I recommend that you visit your GP/family physician for a more in-depth review and examination to get to the bottom of this issue.

Hello, it’s not that uncommon to have a bony avulsion fragment from the fibula, like in your ankle. It’s still controversial what’s the best thing to do with the fragment, and this can vary from removal to leaving it alone and just focusing on repairing the ligament. When there’s not enough good quality tissue to work with, yes an augmentation is useful. This can be in the form of a tendon, or a synthetic internal brace device has also become quite popular. How “common” it is to have inadequate tissues can be quite subjective depending on the judgement of the surgeon but usually it is better to augment the repair when in doubt. 

Hello, it looks like the skin scar itself is ok, but that there is a lump internally. This is most likely due to scarring over the tendon repair internally, and is quite common. You may want to work with a hand therapist especially if your motion is still  impeded. It generally should improve with time. Hope that helps!

Dear @jchua ,

I am sorry to hear that you are experiencing tenderness in your knees. Given the chronicity of your symptoms, it would be worth a visit to a GP or the polyclinic for further assessment with regards to your symptoms to ascertain a working diagnosis. The polyclinic doctor or the GP can then refer you to a specialist. Of course, you can book yourself into any private specialist clinic on your own too. I hope this helps. 

Hi Hannan it sounds like you may have developed a paronychia infection of your nail fold. It is good to get this checked by a doctor as sometimes this needs drainage in addition to antibiotics 

Hi @reed I'm sorry to hear about this! Yes you are right, these conditions can interact as the pattern of pain for these joints which are considered "weight bearing" often prompts the individual to adopt adaptive postures when standing/walking/exercising. While these relieve pain temporarily, they deviate from optimal biomechanics and can result in build of "over use"/strain related injuries or progression of underlying problems in other weight bearing joints in severe cases. 

In terms of determining what to do next, the progression in symptoms along with numbness/pain indicate potential worsening nerve impingement and requires a review with a trained orthopaedic specialist for an examination. It would be best to arrange a follow-up with your original doctor as they will be familiar with your condition. In the mean time until your review with them, do minimise strenuous activity and avoid carrying any heavy weights. Hope this helps!