Practicing Medical Skills in a Small Clinic novel Chapter 339

Chapter 339: Chapter 180: Troublesome Bone Spurs and an Introduction to Orthopedic Diagnosis

If you sit on a warm chair that someone else just sat on, and that person carries some infectious virus, there’s a certain risk of infection.

Although the human skin has a strong barrier capability, it’s better to be cautious.

"Here, you wouldn’t mind using something I used, would you?"

She took a water cushion from the drawer, laid a newspaper on the chair first, and then placed the water cushion for Li Jingsheng.

Surprisingly, it was a cute pink color with cartoon designs on it.

"You really know how to enjoy yourself!"

Li Jingsheng sat on the water cushion; it was cool and soft, very comfortable.

"Hehe, who doesn’t know how to enjoy? How’s your level of orthopedic diagnosis? Help me look at this case."

She smiled and invited him to look at a medical case on the computer together.

Li Jingsheng moved his chair a little closer, sitting very near to her. She didn’t show any signs of avoiding, just her pretty face slightly blushed.

After all, it was in the office, and it was her first time sitting so close to the opposite sex, she felt a bit embarrassed.

The medical history wasn’t too complicated.

This patient suffered a fracture of the right radial bone with some deficiency and distal radioulnar joint dislocation over a year ago due to a car accident. Then, they chose to undergo surgery at the second hospital.

Reviewing the past medical records, the last surgery involved open reduction, ulnar head transplantation, and internal fixation with a plate and screws.

Postoperatively, the patient’s bone healing was relatively good.

However, the patient reported frequent pain on one side of the wrist, especially apparent when moving the wrist.

The results from the follow-up showed ossicles forming at the ulnar stump.

However, from the images, it can be seen that the ossicles are very small in size and have low density. The attending doctor suggested that the patient observe it for a while before taking further action.

It is quite common for ossicles or bone spurs to form after joint injuries.

It’s generally caused by repeated friction and stimulation leading to proliferation.

It can cause the patient a certain degree of pain, but generally doesn’t affect the joint’s functional movement.

Moreover, some patients gradually adapt and settle over time.

For this patient’s situation, suggesting observation is entirely appropriate.

Unexpectedly, as time passed, the man’s pain didn’t lessen but gradually worsened. Now the patient’s forearm can hardly rotate, and it is immensely painful to reach out and grab things.

With no other option, he had to seek consultation again.

After X-ray examination, it was found that the ossicle at the distal ulnar stump had enlarged several times, and its density was close to normal bone.

Repetitive comparisons of the preoperative images, the one-year postoperative follow-up images, and the current ones showed that the growth of the ossicle at the ulnar stump was particularly prominent. Its length and thickness were approaching that of the ulna.

The whole ossicle appeared conical, and a medullary cavity had formed.

The fracture site at the radial distal end from back then had healed.

"The patient’s pain is certainly caused by the ossicle. Can’t we just surgically remove it?"

Li Jingsheng’s level in orthopedics was average, but thankfully his basic knowledge in orthopedics was quite solid.

Moreover, his general surgery diagnosis had reached the Master Level, which somewhat aided his diagnostic ability in orthopedics.

VERIFYCAPTCHA_LABELVerify