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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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    • Foot & Ankle

    Equinus

    When the ankle joint lacks flexibility and upward, toes-to-shin movement of the foot (dorsiflexion) is limited, the condition is called equinus. Equinus is a result of tightness in the Achilles tendon or calf muscles (the soleus muscle and/or gastrocnemius muscle) and it may be either congenital or acquired. This condition is found equally in men and women, and it can occur in one foot, or both.

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

    Herniated Disk

    A disk herniates when part of the center nucleus pushes through the outer edge of the disk and back toward the spinal canal. This puts pressure on the nerves. Spinal nerves are very sensitive to even slight amounts of pressure, which can result in pain, numbness or weakness in one or both legs. A herniated disc, often referred to as a “slipped” or “ruptured” disk, is a common source of pain in the neck, lower back, arms or legs.

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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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    • Arthritis
    • Joint Disorders
    • Knee

    Knee Osteotomy

    Osteotomy literally means “cutting of the bone.” When early-stage osteoarthritis has damaged just one side of the knee joint, or when malalignment of the knee causes increased stress to ligaments or cartilage, a knee osteotomy may be performed to reshape either the tibia (shinbone) or femur (thighbone) to relieve pressure on the 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
    • Pediatric Injuries

    Pes Plano Valgus (Flexible Flatfoot in Children)

    When a child with flexible flatfoot stands, the arch of the foot disappears. The arch reappears when the child is sitting or standing on tiptoes. Although called “flexible flatfoot,” this condition always affects both feet.

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    • Fractures, Sprains & Strains
    • Sports Medicine

    Stress Fracture

    Stress fractures are common sports injuries that occur due to overuse. As muscles become increasingly fatigued and less able to absorb the added shock of a sports activity, the overload of stress is eventually transferred to the bone, resulting in a tiny crack called a stress fracture.

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