In a normal hip the ball at the upper end of the thigh bone fits firmly into the socket. In babies with DDH the hip joint is not formed normally and the ball is loose in the socket so it’s easy to dislocate. The degree of hip instability will vary […]
Universal ultrasonography screening of newborn infants is not recommended in the current guidelines, however, performing an imaging study before they are six months old is recommended if there are significant risk factors present such as breech presentation, family history and a history of clinical instability.
You should seek immediate medical attention for your son. Cat bites typically carry a higher risk of infection rate and it sounds like your son has a well-developed infection that is quickly spreading. The physician will begin him immediately on antibiotics and be able to determine how deep the infection […]
There is always a high risk of infection associated with bites as mouths of mammals tend to carry a high number of bacteria. Human bites are no exception. The major concern with human bites is also the chance of infectious diseases transmitted through the bite, but if your son is […]
According to the conclusions of this randomized and controlled study, the evidence does not support specific therapeutic exercises in reducing the frequency of episodes of low back pain.
Hill and Keating’s study found that regular exercise and spine health education reduce the incidence of low back pain in children (ages eight-11) more than just back care education alone.
It is a series of gentle manipulations and casting as well as a bracing regimen that is performed for children with clubfeet usually within the first few weeks of life.
Congenital means that the patient is born with it and idiopathic means it is of unknown cause. Clubfoot is known as Talipes Equinovarus – where the ankle and foot are in an atypical position (talipes) in that the foot points downward at the ankle (equinus) and the heel of the […]
If your son has a flexible flatfoot then there is typically nothing to worry about. A kid with flexible flatfoot will have an arch in sitting that will disappear with weight bearing whereas a rigid flat foot will not present with an arch at all. A rigid flatfoot is more […]
According to this study it appears that it is quite common for these patients to have a surgery within three years of the conservative treatment, and in fact more than one half had such a surgery, including eight percent that completely failed the skin traction treatment. In this study this […]
A recent study out of the Journal of Bone and Joint Surgery looked at the long-term outcomes of infants with late-detected hip dislocation. For your child the outcome is better since he is younger than eighteen months that he will have a good result from the initial treatments. You can […]
The standard treatment for a shoulder dislocation from a trauma like falling on an outstretched arm is a period of immobilization (4-6wks) followed by physical therapy for gradual strengthening and return to function. Surgery is only considered if the dislocation should happen again or if there was a tear of […]
Children and teenagers tend to be more elastic than adults. Over time, our tissues stiffen and the hypermobility, like your son has, becomes more of a hypomobility as wear and tear sets in. It is in your son’s best interest that he stop subluxing his shoulder on demand and begin […]
You might find the results of a recent study of interest. In this study, orthopedic surgeons from Italy explored the use of a minimally invasive, one-step osteochondral scaffold to repair damage to the surface of the knee joint. The level of evidence is low (rated four on a scale from […]
The condition known as osteochondritis dissecans or OCD is an acquired injury from repetitive microtrauma. A lack of blood supply to the damaged area causes separation of the first two layers of the knee joint: the cartilage that lines the joint (articular cartilage) and the subchondral bone (bone just under […]
It might help you to know a little bit about the history of pedicle screws, how they are used, when they are used, and the results of some recent research related to the complication rates of these devices. Back in the 1960s, surgeons started to use this type of fixation […]
According to a recent study done at The Musculoskeletal Research Center (Children’s Hospital in Colorado), pedicle screws for spinal stabilization are considered safe, reliable, and effective. Compared with other types of fixation (hooks, wires, rods), pedicle screws have a lower rate of complications. Superior correction of spinal deformity with fewer […]
Surgeons recognize that the use of shoulder arthroscopy in the pediatric population is a valuable tool that must be used carefully and judiciously. In all aspects of treatment (evaluation, preoperative and postoperative care, and the surgery itself), this age group is treated individually and not automatically regarded as adults in […]
Current trends in treatment and evidence-based recommendations for management of upper extremity fractures in children support a “less aggressive” approach. Less aggressive is defined as fewer diagnostic tests, less medicine, no surgery (or slower time to surgery) with less invasive surgical procedures. Splinting or casts for short periods of time […]
There is a clinical trend toward more aggressive treatment for upper extremity (arm) fractures in children despite research evidence that less aggressive treatment is just as effective. Large studies that compared operative versus nonoperative treatments have concluded that less aggressive care is safe and effective. More aggressive treatment is not […]