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

    Kyphosis (Roundback) of the Spine

    The term kyphosis is used to describe the spinal curve that results in an abnormally rounded back. Although some degree of rounded curvature of the spine is normal, a kyphotic curve that is more than 50° is considered abnormal. There are several types and causes of kyphosis: postural kyphosis, Scheuermann’s kyphosis, and congenital kyphosis.

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    • Fractures, Sprains & Strains
    • Muscle Disorders
    • Neck and Back (Spine)

    Lumbar Back Strain

    A lumbar strain is an injury to the tendons and/or muscles of the lower back, ranging from simple stretching injuries to partial or complete tears in the muscle/tendon combination. These tears cause inflammation in the surrounding area, resulting in painful back spasms and difficulty moving. An acute lumber strain is one that has been present for days or weeks. If it has persisted for longer than 3 months, it is considered chronic.

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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
    • 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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    • 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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    • 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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    • Fractures, Sprains & Strains
    • Hand & Wrist
    • Sports Medicine

    Thumb Fracture

    Although a fracture can occur anywhere in the thumb, the most serious happen near the joints, especially at the base of the thumb near the wrist. A fractured or broken thumb can be especially difficult because it affects the ability to grasp items. Thumb fractures are usually a result of direct stress, such as from a fall or catching a baseball without a glove.

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