Children's Orthopedics

I'm really nervous that I might have screwed up with my baby. She was born with a clubfoot on the right side. The pediatrician sent me to a special clinic where they teach parents how to stretch the foot and use elastic tape to hold it in place. There's a little splint she wears over the tape, too. I think I've done everything right, but the foot isn't getting better. This is my first baby and I want her to be perfect. How much longer should I wait before I say something to the doctor?

As you know, with clubfoot, the foot is turned under and towards the other foot. The medical terminology for this position is equinus and varus. Equinus means that the toes are pointed down and the ankle flexed forward (like the position of the foot when a ballet dancer is on her toes). Varus means tilted inward. The ankle is in a varus position when you try to put the soles of your feet together.




Midterm Results of New Treatment for Elbow Osteochondritis Dissecans in Teenage Athletes

Imagine you are a teenage male athlete heavily involved in baseball. Now imagine how you would feel if severe, constant pain was keeping you out of the game. You have a condition called osteochondritis dissecans (OCD) of the elbow. For some unknown reason, the layer of joint cartilage just above the bone has separated and pulled away from the bone. No treatment has helped.




Treating Clubfoot: The Ponseti Way or the French Way?

Children born with a foot deformity called clubfoot can be treated without surgery when they are just a few months old. In fact, success is much greater when treatment is applied before the child is three months old. The most successful nonoperative method of treatment has been the Ponseti Method. Now a new method called the French Functional (Physiotherapy) Method is available.




Evaluation and Treatment of Musculoskeletal Infections in Children

According to Dr. Lawson Copley, a professor of orthopedic surgery at the University of Texas Southwestern (Dallas, Texas), serious bone and soft tissue infections in children are on the rise and have become more serious and more complex than ever before. In this article, Dr. Copley takes us down the path of evaluation, diagnosis, and treatment of deep infections involving the musculoskeletal system in children.




I have a type of scoliosis that was severe enough to have surgery when I was a kid. Now my daughter has the same thing. When I had surgery, they used Harrington rods. The surgeon showed us how she would use screws instead of rods for my daughter's correction. It seems like those long rods would work better than the little screws they showed us. Will this really hold her?

The surgical treatment of large spinal (scoliosis) curves in children has evolved over the past four decades. In the 1960s, the Harrington rods were very popular. They were used to distract or separate the vertebral bodies, put them in good alignment, and hold them there while the child or teen grew. But a better way was found to correct the spinal curve in all three planes (3-D correction) and that was with segmental wires and hooks.




Our 13-year-old has a severe case of scoliosis. It appeared out of the blue. They tell us it can be genetic. But what makes the spine curve like that?

Scoliosis is a deformity in the spine that causes an abnormal C-shaped (one curve) or S-shaped curvature (two curves). The spine is not straight but curves to one or both sides. There are three types of scoliosis depending on when it develops. Infantile occurs from birth to three years of age. Juvenile scoliosis develops between four and nine years of age.




Our 14-year-old son had surgery for osteochondritis dissecans after months of being on crutches and inactive. Unfortunately, the operation didn't work. We were so hopeful for him but it looks like the end of his snowboarding adventures. Any idea why the surgery didn't help? Other kids seem to bounce back, no problem.

Osteochondritis dissecans (OCD) is a painful knee condition that affects teens and young adults who are usually still growing. That means the growth plates around the joints have not closed completely yet. Damage to the joint cartilage and first layer of bone (called subchondral bone) occurs causing knee pain with activity.




I am a 13 year old girl with knee pain that only goes away when I sit and do nothing. The doctor says I have osteochondritis dissecans. I looked this up on-line and found out it's from an injury or repetitive sports activity. I'm not a sports freak, ballerina, gymnast, or athlete of any kind. So why do I have this problem?

Osteochondritis dissecans (OCD) is a problem that affects the knee, mostly at the end of the big bone of the thigh (the femur). The problem occurs where the cartilage of the knee attaches to the bone underneath. The area of bone just under the cartilage surface is injured, leading to damage to the blood vessels of the bone. Without blood flow, the area of damaged bone actually dies. This area of dead bone can be seen on an X-ray and is sometimes referred to as the osteochondritis lesion.




Pedicle Screws Successfully Replace Hooks to Correct Severe Scoliosis

The surgical treatment of large spinal (scoliosis) curves in children has evolved over the past four decades. In the 1960s, rods were used to distract or separate the vertebral bodies, put them in good alignment, and hold them there while the child or teen grew. But a better way was found to correct the spinal curve in all three planes (3-D correction) and that was with segmental wires and hooks.




New Findings Help Explain Results of Treatment for Osteochondritis Dissecans

Japanese researchers may have an answer to the problem of osteochondritis dissecans (OCD). This painful knee condition affects teens and young adults who are usually still growing. That means the growth plates around the joints have not closed completely yet. Damage to the joint cartilage and first layer of bone (called subchondral bone) occurs causing knee pain with activity. Until now, it's been unclear just what happens to cause this condition.





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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