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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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    • Foot & Ankle

    Cavovarus Foot Deformity

    The term “cavovarus” refers to a foot with an arch that is higher than normal, and that turns in at the heel. Weakness in the peroneal muscles and sometimes the small muscles in the foot are often the cause of a cavovarus foot deformity. As the deformity worsens, there can be increasing pain at the ankle due to recurrent sprains, painful calluses at the side of the foot or base of the toes, or difficulty with shoe wear.

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    • Joint Disorders
    • Ligament Disorders
    • Muscle Disorders
    • Shoulder

    Chronic Shoulder Instability

    Chronic shoulder instability is the persistent inability of these tissues to keep the arm centered in the shoulder socket, so the shoulder is loose and slips out of place repeatedly. Once a shoulder has dislocated, or the shoulder’s ligaments, tendons and muscles become loose or torn, that shoulder is vulnerable to repeated dislocations.

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    • Hand & Wrist

    Hand & Wrist Tendinitis

    Tendinitis occurs when a tendon becomes irritated, inflamed or swollen and causes the synovium around the tendon to swell, changing the shape of the tendon sheath compartment and making it difficult for the tendons to move properly. Tendinitis can cause pain and tenderness along the hand or wrist that is particularly noticeable when grasping or gripping, forming a fist, or turning the wrist.

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    • Fractures, Sprains & Strains
    • Hand & Wrist

    Hand Fracture

    A fracture of the hand can occur in either the small bones of the fingers (phalanges) or in the long bones (metacarpals). Symptoms of a broken bone in the hand include: pain; swelling; tenderness; an appearance of deformity; inability to move a finger; shortened finger; a finger crossing over its neighbor when you make a fist; or a depressed knuckle, which is often seen in a “boxer’s fracture.”

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

    Hip Bursitis (Trochanteric Pain Syndrome)

    Hip bursitis is typically the result of inflammation and irritation in one of two major bursae in the hip. One covers the bony point of the hip bone (greater trochanter). Inflammation of this bursa is known as trochanteric bursitis.

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    • Hip
    • Joint Disorders

    Hip Osteonecrosis

    Osteonecrosis of the hip is a painful condition that develops when the blood supply to the femoral head is disrupted. Without adequate nourishment, the bone in the head of the femur dies and gradually collapses. This causes the articular cartilage covering the hip bones to also collapse, leading to disabling arthritis and destruction of the hip joint.

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    • Foot & Ankle
    • Hand & Wrist
    • Sports Medicine

    Nerve Injuries

    Injury to a nerve can stop signals to and from the brain, resulting in a loss of feeling in the injured area and causing the muscles to stop working properly. Nerves are fragile and can be damaged by pressure, stretching, or cutting.

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    • Foot & Ankle
    • Sports Medicine

    Peroneal Tendon Injuries

    Basic types of peroneal tendon injuries are tendinitis, acute and degenerative tears, and subluxation. Peroneal tendon injuries occur most commonly in individuals who participate in sports that involve repetitive or excessive ankle motion. People with higher arches have an increased risk for developing peroneal tendon injuries.

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    • Hip
    • Neck and Back (Spine)
    • Physical Medicine & Rehabilitation (PM&R)

    Sciatica

    Most common between 30 and 50 years of age, sciatica is a pain in your lower back or hip that radiates to the back of your thigh and into your leg. Often people think that the source of the pain is the buttock, hip or thigh and seek medical care for a “hip” problem only to learn that the source of the pain is the lower back.

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    • Fractures, Sprains & Strains
    • Hand & Wrist
    • Joint Disorders
    • Ligament Disorders
    • Sports Medicine

    Wrist Sprains

    Sprained wrists are often caused by a fall, such as onto an outstretched hand, or when the joint is bent forcefully or suddenly twisted. Wrist sprains are graded according to the degree of injury to the ligaments, and they can range from mild to severe.

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