Children's Orthopedics

I'm planning on homeschooling my three children starting with the oldest this fall. Over the summer, I'm going to check garage sales for school desks. How can I tell if the desk fits each child?

Good question! Sitting for long periods in an ill-fitting seat has already been linked with back pain in young children. Take your child with you when shopping. Have him or her sit in the desk.

When the child sits as far back as possible, is the thigh in contact with the seat of the chair? Does the seat press into the back of his or her knees (if yes, it may be too big).
Is at least half (or more) of the thigh supported? If no, it may be too small.




My 14-year-old daughter competes in gymnastics on the balance beam. After injuring her ankle, she's gone back to practice. Now it seems like she can't keep her balance and her hip on the same side is starting to bother her. What's the connection?

Keeping balance is a complex task. It relies on a system called the postural control system. This involves the inner ear, the eyes, the muscles, and the brain. If the
ankle is injured it can lose its ability to sense the joint's position in space. A delayed response to a shift off-balance can result in a loss of balance.




Have you ever heard of a growth plate coming apart? My 12-year old daughter had an MRI for a back injury. The results showed separation of the growth plate where she hurt herself. What could be causing this?

The growth plate is made up of growing bone and a cap of cartilage at the end. When the bone stops growing, the cartilage ossifies or becomes the end of the bone. At maturity when the bones stop growing, the growth plate disappears.




My 13-year-old son was just diagnosed with spondylolisthesis. The doctor warned us that damage to the disc is also possible with this condition. Is there any way to know for sure if this is happening?

Spondylolisthesisis a condition of the spine with slippage of one vertebra forward over the one below it. The most common site for this problem is in the lower lumbar spine, often the last lumbar vertebra.




I notice my 9-year old son's shoulder blades stick out. No one else in our family has this problem. Should we do anything about it?

If he isn't complaining of shoulder pain, it's probably nothing to worry about. Children, especially boys before puberty, often have this. It's most likely caused by an under developed muscle called the serratus anterior (SA). The SA is attached to the scapula (shoulder blade) and comes around the ribcage under the armpit. It attaches to the sides of the first eight or nine ribs.




I don't want my child exposed to any more X-rays than absolutely necessary. The doctor wants to do X-rays to look for curvature of the spine in my 13-year old daughter. Isn't there some other way around this?

It depends. If the doctor has already taken measurements and found a scoliosis (curvature of the spine), then an X-ray is the next step before deciding treatment.

There are some ways to assess and measure normal curves in the spine. These methods can be used to measure abnormal curves as well. The first is a device called a scoliometer. Another is a kyphometer. Both of these are placed on the spine
and give a reading or measure of the different spinal curves.




I see from the news that there's concern about young students carrying heavy backpacks. I went to school 30 years ago and we never used backpacks or even a book bag. What do they carry in them that's so heavy?

Books, calculators, cell phones and other electronic devices, sports equipment, water bottles, and other personal items. That's probably just a partial list of what most students haul around with them everyday.




Which is more important for students carrying a backpack: wearing it over both shoulders or decreasing the amount of weight inside?

A large study of students in Greece reports the carrying method doesn't make a difference in the amount or kind of back pain students experience. They suggest age, height, and gender are the key factors.

Girls nearing puberty have the highest amount of back pain. Shorter children carry more of a load compared to taller children of the same age carrying the same weight. Adding sports to the picture seems to increase the number of students who suffer from back pain.




My 14-year old daughter injured herself in a dismount from the balance beam in gymnastics. They think she'll need surgery to repair a torn ACL, but they say she isn't "skeletally mature" yet. How can they tell this?

X-ray is the number one tool for determining skeletal maturity. In children and some teens, there are growth plates (physes) at the ends of bones that aren't fused
solid yet. This allows for bone growth and expansion. The physes are visible on X-ray as dark areas called radiolucency.




My 13-year-old son tore his left ACL. The doctor wants to delay surgery until my son's bones stop growing. Is this really necessary? He'll miss an entire season of baseball this way.

He will probably miss the entire season either way. If the surgery is done, rehab takes several more months after recovery. It's best to listen to your doctor's advice. Studies
show that if the growth plate is disturbed, deformities, fractures, and stunted growth of the limb can occur.





*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.
All content provided by eORTHOPOD® is a registered trademark of Medical Multimedia Group, L.L.C.. Content is the sole property of Medical Multimedia Group, LLC and used herein by permission.

Back to top

MySpace Tracker