If you sit on a warm chair that soone else just sat on, and that person carries so 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 sothing 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 look at this case."
She smiled and invited him to look at a dical 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 ti sitting so close to the opposite sex, she felt a bit embarrassed.
The dical history wasn’t too complicated.
This patient suffered a fracture of the right radial bone with so 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 dical 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 movent.
Moreover, so patients gradually adapt and settle over ti.
For this patient’s situation, suggesting observation is entirely appropriate.
Unexpectedly, as ti passed, the man’s pain didn’t lessen but gradually worsened. Now the patient’s forearm can hardly rotate, and it is imnsely 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 tis, 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 dullary cavity had ford.
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 sowhat aided his diagnostic ability in orthopedics.
"The issue now isn’t how to handle the ossicle, but that after removal, as soon as the patient moves their right hand, the unstable stump bone, with larger swings, will irritate the surrounding tissue and cause pain. Consequently, it may regenerate the ossicle again."
Ou Qinglan was concerned about this.
"I’ve researched material, and ossicle regeneration at the stump is almost a common complication of such surgeries, unavoidable."
Indeed, tissue proliferation gives doctors headaches.
Scar proliferation is a whole other story, even harder to eradicate than cancerous tumors.
Bone proliferation is equally troubleso.
Even after being cured, it’s easy for it to recur.
Mammary gland proliferation in clinics, especially, is feared by won, worried it would turn malignant after 4A.
"Haven’t you consulted a senior doctor?"
"Doctor Ruan said it was to train my clinical reasoning, letting think on my own."
The Dr. Ruan she’s talking about is definitely that skinny face Ruan Xiaoqin.
This person is thirty-seven or eight years old, at least an attending physician.
Considered to have so standing in the departnt.
Today, Ruan Xiaoqin was nowhere to be seen.
"Isn’t the patient scheduled for surgery yet?"
"No. The surgical plan hasn’t been finalized; there’s a discussion planned for this afternoon."
She shook her head.
"Are you in Professor Wu’s group?"
"Yes!"
"Isn’t your group only researching bone cent treatnt?"
"Who said!? Bone cent treatnt is a specialized project Professor Wu focuses on, our group mostly deals with bone trauma cases. We also dabble a bit in joint matters."
So that’s the case.
That makes sense. There aren’t many patients accepting bone cent treatnt annually.
If the hospital maintained such a large team of doctors only to treat a few patients willing to undergo bone cent treatnt yearly, it would likely have gone bankrupt long ago.
The hospital leadership wouldn’t agree to that either.
Bone trauma is a significant category, with quite a few patients.
"No worries, I’ll help you search the data."
Li Jingsheng, since he was idle anyway, imdiately took out his phone to search online for relevant literature on ossicle treatnt.
There is quite a bit of research on this topic, though not much practical treatnt experience.
Useful information is even scarcer.
No wonder Ou Qinglan felt troubled.
Fortunately, Li Jingsheng’s English reading ability was adequate. He accessed an international dical exchange forum to look up related posts.
Because the registration threshold for this forum is quite high, only doctors with certain achievents in the surgical field can beco registered mbers.
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