Children's Orthopedics
Using 3-D Views of the Spine to Classify and Treat Scoliosis
Posted April 16th, 2009 by MattScoliosis (curvature of the spine) is managed based on the type and severity of curve. A smaller curve (mild scoliosis) can be treated conservatively without surgery. A larger curve (moderate to severe scoliosis) often requires fusion to straighten it as much as possible and keep it from getting worse. X-rays are used to determine the degree of the main curve. An angle called the Cobb angle is measured and used as a guide to conservative versus surgical treatment.
Most Functional Recovery From Pediatric Stroke Is Within 2-3 Months
Posted April 9th, 2009 by MattMore children have strokes than people realize; it's not an uncommon thing. In fact, childhood (or pediatric) strokes are among the top 10 reasons for death in children in the United States. Unfortunately though, little research has been done when compared to the research for strokes in adults.
Our grandson was born with a slightly dislocated hip. They've put him in an awful harness-thing that looks very uncomfortable. Is this really necessary? I babysit him three days a week, and I just can't bear to see him in that contraption. Can I take it off at least while he's sleeping?
Posted April 2nd, 2009 by MattIt's likely that your grandson has a condition called developmental dysplasia of the hip (DDH). DDH represents a group of hip disorders involving partial or complete dislocation of the femoral head.
The femoral head is a round ball of bone at the top of the femur or thigh bone. Normally, it fits inside the acetabulum (hip socket). But with DDH, the femoral head slips partially or completely out of the socket.
Our baby has dislocating hips. For the next few weeks at least she must wear a special harness. It holds her hips and knees up toward the chest and apart from each other. I'm supposed to take her in to the clinic every week for ultrasound studies of the hip. I'm worried the exposure to radiation could harm her. What should I do?
Posted April 2nd, 2009 by MattUltrasound can be used right at birth too look at the hips of infants at risk or with suspicious clinical findings. It is safe, does not expose the child to radiation, and seems to be well-tolerated (by the child who is being tested and by the parent who is watching). Such an early diagnosis makes it possible to achieve better results with less treatment.
My children are heavier than they should be. They don't exercise much because we're so busy. Now my son is complaining of hip pain and my mother says it's because he's so heavy. Is there any truth to this?
Posted April 2nd, 2009 by MattOverweight and obese children are becoming more common in Western society. The daily exercise that we used to get as kids is a lot less for the kids of today for a variety of reasons. Obesity is also a major health risk for children. Lifestyle-related illnesses, like type 2 diabetes and high blood pressure, are now being diagnosed in teens or even younger children.
My 12-year-old niece was diagnosed with a condition where her hip bone slipped or something like that. The doctors said it was unstable and she had to have emergency surgery. She's now got more problems with her hip and the doctors said that part of the bone died and that she needs more surgery. What does that mean?
Posted April 2nd, 2009 by MattThrough your description, it sounds like your niece may have had unstable slipped capital femoral epiphysis. That's the long way of saying, it sounds like the upper part of her femur (thigh bone) slipped out of place and was causing a lot of pain.
Treatment for Slipped Capital Femoral Epiphysis
Posted April 2nd, 2009 by MattSome adolescents, teens, develop a hip disorder called slipped capital femoral epiphysis (SCFE). It's one of the most common hip disorders in this age group affecting between two and 10 out of every 100,000 people in the United States.
A New and Better Way to Treat Developmental Dysplasia of the Hip
Posted April 2nd, 2009 by MattInfants can (and should) be tested early and treated for developmental dysplasia of the hip (DDH). DDH represents a group of hip disorders involving partial or complete dislocation of the femoral head. The femoral head is a round ball of bone at the top of the femur or thigh bone. Normally, it fits inside the acetabulum (hip socket). But with DDH, the femoral head slips partially or completely out of the socket.
My friend's daughter has what they called discoid meniscus in her left knee. I've also heard the term in sports. What exactly is the meniscus?
Posted March 25th, 2009 by MattYour knee is a complicated joint in that it has the knee cap protecting where the femur (thigh bone) and shin bone (tibia) meet. The knee needs tendons to help move the muscles, and it also needs cartilage - the menisci - to protect the knee. You have two menisci. One is the lateral meniscus (on the outside of your knee) and the other is the medial meniscus (on the inside of the knee).
My son is about to have surgery for a problem with the meniscus in his knee. He's 10. The doctor wants to do a full surgery instead of with the scope. I know that surgeons can do this with scopes because several people I know have had it. Why does he want to subject my son to an open surgery instead?
Posted March 25th, 2009 by MattWithout knowing that the problem is with your son's meniscus, it's hard to say why one type of surgery would be preferred over another. However, sometimes it is a better idea to open the knee with a traditional incision than do an arthroscopic surgery, with the slender, long reaching instruments.
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