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    • Arthritis
    • Joint Disorders
    • Physical Medicine & Rehabilitation (PM&R)

    Arthritis Overview

    According to estimates, one in every five people living in the United States has signs or symptoms of arthritis in at least one joint. There are many types of arthritis, but most fall into one of two major categories: osteoarthritis and rheumatoid arthritis, or RA. Arthritis is the leading cause of disability in the United States and it affects millions of people. Approximately half of all sufferers are under age 50.

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    • Joint Disorders
    • Muscle Disorders
    • Pediatric Injuries

    Bone, Joint & Muscle Infections in Children

    Children can develop “deep” infections in their bones (osteomyelitis), joints (septic arthritis), or muscles (pyomyositis). The most common locations for deep muscle infections are the large muscle groups of the thigh, groin and pelvis. Children who have infections of their bones, joints, or muscles often have fever, pain, and limited movement of the infected area.

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    • Hand & Wrist

    De Quervain’s Tendinitis

    De Quervain’s tendinitis occurs when the tendons around the base of the thumb become irritated or swollen, causing the synovium around the tendon to swell and changing the shape of the compartment, which makes it difficult for the tendons to move properly.

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    • Fractures, Sprains & Strains
    • Sports Medicine

    Fractures

    A fracture is a broken bone. Although bones are rigid, they do bend with limited flexibility when outside force is applied. When that force is too great, the bone will fracture. Common causes of fractures include: trauma, such as auto or sports-related accidents; osteoporosis, which can weaken the bone; or overuse caused by repetitive motion that can tire muscles and place excess force on the bone, resulting in stress fractures like those most often seen in athletes.

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    • Joint Disorders
    • Knee
    • Pediatric Injuries
    • Sports Medicine

    Jumper’s Knee

    Repetitive contraction of the quadriceps muscles in the thigh can stress the patellar tendon where it attaches to the kneecap, causing inflammation and tissue damage (patellar tendinitis). For a child, this repetitive stress on the tendon can irritate and injure the growth plate, resulting in a condition referred to as Sinding-Larsen-Johansson disease.

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    • Joint Disorders
    • Knee

    Knee Osteonecrosis

    Osteonecrosis, which literally means “bone death,” is a painful condition that develops when a segment of bone loses its blood supply and begins to die. Osteonecrosis of the knee most often occurs in the knobby portion of the thighbone, on the inside of the knee (medial femoral condyle). It may also occur on the outside of the knee (lateral femoral condyle) or on the flat top of the lower leg bone (tibial plateau).

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    • Arthritis
    • Elbow
    • Joint Disorders
    • Sports Medicine

    Loose Body in the Elbow

    Loose bodies are small fragments of bone or cartilage that have broken off inside a joint. As these fragments float free within the elbow, they can cause pain and even get caught in the moving parts of the joint.

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    • Foot & Ankle

    Morton’s Neuroma

    Morton’s neuroma is not actually a tumor—it is a thickening of the tissue that surrounds the digital nerve leading to the toes. Morton’s neuroma most frequently develops between the third and fourth toes, and occurs where the nerve passes under the ligament connecting the toe bones (metatarsals) in the forefoot.

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    • Fractures, Sprains & Strains
    • Knee
    • Ligament Disorders
    • Sports Medicine

    PCL Injuries & Reconstruction

    Injuries to the posterior cruciate ligament are not as common as other knee ligament injuries. They are often subtle and more difficult to evaluate than other ligament injuries in the knee. Many times a posterior cruciate ligament injury occurs along with injuries to other structures in the knee, such as cartilage, other ligaments, and bone.

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    • Foot & Ankle
    • Pediatric Injuries
    • Sports Medicine

    Sever’s Disease

    Sever’s disease (also known as osteochondrosis or apophysitis) is an inflammatory condition of the growth plate in the heel bone (calcaneus). One of most common causes of heel pain in children, Sever’s Disease often occurs during adolescence when children hit a growth spurt.

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    • Arthritis
    • Physical Medicine & Rehabilitation (PM&R)
    • Shoulder

    Shoulder Arthritis

    Over time, the shoulder joint frequently becomes arthritic, with bone spur formation and loss of cartilage between the bones. This can cause pain in the top of the shoulder with overhead movement or reaching across the body. It can also cause tenderness or pain with pressure, such as from a back pack or bra strap.

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    • Elbow
    • Pediatric Injuries
    • Sports Medicine

    Throwing Injuries to the Elbow in Children

    The beginning of baseball season in spring is often followed by an increase in overuse injuries in young baseball players, particularly pitchers and other players who throw repetitively. Two of the most frequent throwing injuries to the elbow are medial apophysitis (little leaguer’s elbow), and osteochondritis dissecans.

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