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Pediatric Orthopedics is the study and treatment of growing bones, joints and muscles. Pediatric Orthopedists use many techniques, including observation of growth, physical therapy, braces and splints, and occasionally surgery to treat various conditions such as congenital deformities, injuries, neurological disorders, andscoliosis. These conditions are discussed in general below, with links being added to more specific information as time goes by.
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The most beautiful people we have known are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of the depths. These persons have an appreciation, a sensitivity, and an understanding of life that fills them with compassion, gentleness, and a deep loving concern. Beautiful people do not just happen.
Dear GOD, if today I lose my hope please remind me that your plans are better than my Dream.....
Variations of Normal Anatomy & Congenital Deformities
Frequently, young children and adolescents have conditions that are variations of normal anatomy. These include children who toe-in or toe-out excessively, children with "bad posture" such as round-back or sway-back, and children who are delayed in learning to walk or have unusual patterns of walking such as "toe walking".Often these problems are variations of normal developmental patterns and do not represent an underlying disease.In such cases, the child’s growth and patterns of walking, posture, and muscular development need to be observed over time in order to establish whether the child’s growth pattern will return to normal spontaneously.
A small percentage of children have birth defects. These include spinal problems such as spina bifida, limb deformities such as clubfoot, or other congentital defects such as extra fingers or toes. Pediatric Orthopedists frequently follow these children through years of growth and into adult life.
Childhood Injuries - Children often break bones. With these fractures there is often a potential injury to the growth centers of the skeleton. Pediatric Orthopedists evaluate the child for potential growth problems that may happen after the injury heals and treat growth disturbance if it occurs. Appropriate treatment of fractures, sprains and dislocations can ensure minimal disturbance of function and a quick return to normal childhood growth and activity.
Pediatric Sports Injuries - Pediatric Sports Medicine is an important part of health care. Children who engage in activities like soccer, karate, and skateboarding may have acute injuries such as broken bones, sprains, and dislocations. Many times chronic stress injuries occur, such as fractures, tendinitis, and apophysitis.
Neurological Disease - Many patients seen by Pediatric Orthopedists have neurological disorders such ascerebral palsy, spina bifida, or the family of diseases known as dystrophies.Most of these disorders result in muscle imbalance and deformity in the areas involved, such as drop foot, scoliosis, or paralytic clubfoot.
Children with cerebral palsy or spina bifida frequently require bracing or surgery to improve their ability to function to their greatest potential.
Scoliosis and Kyphosis - These conditions are deformities of the spinal column and may occur at any time before or after birth, but are more frequent during the adolescent growth spurt. Scoliosis is curvature of the spine seen in about 5% of teenage girls.Kyphosis is an excessive round-back deformity common in teenagers.
Pediatric Orthopedic Conditions
Congenital and Hereditary Pediatric Conditions
Congenital Limb Defects - In this condition, a part or the whole lower or upper limb cannot form normally or is not at all forming when the baby is growing in the uterus.
Club Foot - Club foot (talipes equinovarus) is a condition of foot deformity that is present at the time of birth. Muscles, blood vessel, bones, feet and tendons are affected by this condition. The appearance of the foot is generally broad and short and the heel is pointing downward. The forefoot turns in the inward position.
Developmental Dysplasia of the Hip - It is a serious condition present at the time of birth (congenital condition) of the hip joint.
Osteogenesis Imperfecta (OI) - Osteogenesis Imperfecta (brittle bone disease) is a serious condition that is caused due to inherited (genetic) disorder where the bone breaks very easily.
Muscular Dystrophy (MD) - This is the condition of inherited (genetic) disorder of the muscles that make them weak and are easily restored with fatty deposits.
Limb Length Discrepancies
Limb length discrepancies are a serious condition where there is a disproportion of length in the lower and upper arm and in lower and upper legs. Sometimes it has been seen in serious cases that length differences cause problems in the functioning of the arm. The small variation need not require any treatment but greater variation requires a significant treatment.
Causes for leg length discrepancy
Bone Infection - The stage of growth in children can cause a serious limb length discrepancy. It can be serious if it occurs at the time of infancy. If there is an inflammation of joints at the time of growth, it can lead to differences in the length of the leg (Juvenile arthritis).
Bone Diseases - It can also cause the condition of limb length discrepancy-
Previous Injury in the Bone of the Leg - An injury of broken leg can cause limb length discrepancy if the injury healed in a short time. There are chances of bone getting broken into pieces and the tissue muscles can also harshly damaged just like in the case of open fracture. After the process of healing, the broken bones can grow faster for few years leading the injured bone becoming much longer.
Neurologic and Arthritis conditions are the other causes of limb length discrepancies.
Growth Related Conditions
Lordosis - This condition gives a child a swayback appearance if the affected spine shows a curvature of the vertebrae (back bones).
Tibial Torsion - Tibial torsion leads to twisting of the bones (shin bones) that are in between the ankle and the knee on the inward side. The feet of the child get a pigeon toed appearance as a result of this twisting.
Femoral Anteversion - In this condition, the thigh bone (femur) twists inward and causes the feet of the child turning inward (pigeon toed appearance). It can be easily detected in the children of age group 4-6 years old.
Osgood- Schlatter Disease - In this condition, there is swelling and pain in the area below the knee and is seen in growing adolescents and children.
Joint Pain Treatment
The joints are the connections between the bones and helps in providing support for our movement. A damage or injury can lead to problems in moving and involves a lot of pain. Rheumatoid arthritis, strains, bursitis, sprains and osteoarthritis can some of the conditions that lead to pain in the joints. Joint pains can be mild or severe and can leave in a few weeks in acute case and in months in the chronic case. The different alternative treatments, physical therapy and medication can treat the problem of joint pain.
"Happiness is not something ready made. It comes from your own actions".
"The purpose of our lives is to be happy" - Dalai Lama