Children's Orthopedics

Don't Hold a Toddler While Going Down a Playground Slide

Young children should not go down a playground slide while sitting on another person's lap. This was the conclusion of a study looking at playground injuries. In particular, one pediatric surgeon reviewed the records of 58 children who sustained a tibialfracture over an 11-month period of time. The tibia is the larger of the two bones in the lower leg. Eight of those fractures occurred while going down the slide on the lap of an adult (usually the parent).




Our baby was born without a sacral bone. I took prenatal vitamins, I did yoga and Tai chi, I was very careful with my diet. What could I have done wrong?

You may not be at fault in any way. Sometimes nature takes its own course and it has nothing to do with our actions or inactions.

Sacral agenesis (the absence of a sacral bone at the base of the spine) is uncommon, but not unheard of. About one in every 25,000 children born have some kind of sacral anomaly or defect. Sometimes, the bone is completely missing as with your child. In other cases, only half of the sacrum is present or there may be a part missing on both sides.




Our first grandchild was born this week. Unfortunately, he has some problems. The most obvious is congenital scoliosis. They are testing him to see if there's anything else wrong. What causes this problem in newborns?

Sometimes babies are born with defects or anomalies like missing vertebral bones, only half of a vertebral bone formed, fused vertebral bones, and/or fused ribs. These defects result in curvature of the spine called congenital scoliosis.

At this point, scientists still don't know the etiology or cause of congenital scoliosis. To help understand this condition, let's go right back to the moment of conception. The sperm meets the egg, penetrates, and fertilizes it.




The Continued Mystery of Congenital Scoliosis

Sometimes babies are born with defects or anomalies like missing vertebral bones, only half of a vertebral bone formed, fused vertebral bones, and/or fused ribs. These defects result in curvature of the spine called congenital scoliosis. Any time this happens, the parents wonder, What did I do wrong? How did this happen?




Our 14-year-old daughter was diagnosed with osteosarcoma of the femur -- just at the end of the bone where it meets the lower leg to form the knee joint. We are trying to be optimistic but we'd really like to know what to expect in the coming months to years. Will she even have that long?

Osteosarcoma (bone cancer) is a rare form of cancer with only about new 560 cases diagnosed each year. Children and teens are affected most often because of how fast they are growing. Rapid turnover of bone cells goes haywire when tumor-suppressor genes that normally regulate the bone cell cycle get turned off or get side tracked.




If you have bone cancer of the leg, does it always mean they have to cut it off? I remember when Patrick Kennedy had his cancer. Have things changed since then? I'm asking because my nephew has been told he has osteosarcoma. And that's all I know about the disease.

Osteosarcoma, also known as osteogenic sarcoma, is a rare malignant tumor that targets fast growing bone cells, which is why children and teens are affected most often. Edward Kennedy, Jr., lost his right leg due to bone cancer at the age of twelve in 1973. Much has changed since then in terms of treatment.




What To Expect If You or Your Child Has Osteosarcoma (Bone Cancer)

Osteosarcoma (bone cancer) is the topic of this review article. It's a rare form of cancer with only about new 560 cases diagnosed each year. But it can have devastating effects and a poor prognosis, so articles like this are very helpful in keeping us up-to-date on the diagnosis and treatment of this disease.




I read somewhere that we can't really control anything, so we shouldn't worry because there's nothing we can do to change whatever we are worrying about. But I have to admit, when it comes to my children participating in sports events, I can't help but worry they will get hurt. Maybe if I knew more about just how often injuries occur, I might be able to relax. Is it inevitable that the longer they play, the greater the risk?

Not necessarily. While it's true that many athletes do get injured, there are ways to protect children and prevent some of these injuries. Here's what we know so far. First, to give you an idea of how common sports participation is -- there are over seven million high school students involved in athletics each year in the United States. And about two million injuries each year as well. About one in 10 of those injuries is really a repeat or recurrent injury.




How do we get our 13-year-old son to stop pitching when he's tired? It's clear to us when he needs to take a rest, but he doesn't want to lose face or let his team down. It's a real dilemma.

It's clear now to sports professionals that pitching every inning of every game is no longer a good idea. But that's how it was done in the early days of baseball and for many years after. Fatigue (no matter how strong the athlete is) can lead to injury. Researchers have studied this problem trying to determine a formula whereby a pitcher would be able to calculate exactly how many pitches would be safe.




I pitch for my high school baseball team. This summer, I'd like to work on increasing my pitch speed. Are there some quick tips you can offer me?

The accuracy and speed of the pitch depend on many, many actions such as the foot position and orientation (turned out/turned in), shoulder and pelvis rotation, knee extension, and trunk motion and position.





*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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