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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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    • Hand & Wrist

    Extensor Tendon Lacerations

    Extensor tendon lacerations (wounds, cuts or tears) of the hand and fingers are quite common injuries, and can occur at many different levels. They are often associated with deep structure damage, such as bone, joint and ligamentous support. Symptoms include one or more of the following: loss of function or strength, diminished range of motion, and weakness when straightening the fingers or hand.

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

    Knee Arthritis

    The knee is one of the most commonly involved joints with arthritis. Arthritis is the loss of the normal protective cartilage that covers the bones. When this cartilage or “padding” of the bone breaks down and is lost, areas of raw bone become exposed and grind against each other with standing and walking. This is “bone on bone” arthritis and is usually painful.

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    • Fractures, Sprains & Strains
    • Neck and Back (Spine)
    • Physical Medicine & Rehabilitation (PM&R)

    Osteoporosis & Spinal Fractures

    When too much pressure is placed on a vertebra weakened by osteoporosis, the patient may suffer a vertebral compression fracture. Fractures caused by osteoporosis often occur in the spine. Vertebrae weakened by osteoporosis are at high risk for fracture.

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

    Scoliosis

    Scoliosis is a common condition of the spine that affects many children and adolescents. Unlike a normal spine that runs straight down the middle of the back, a spine with scoliosis forms a sideways curve that may look like a letter “C” or “S.” Scoliosis can cause the spine to rotate or turn, resulting in a shoulder, shoulder blade (scapula), or hip that appears higher than the other.

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

    Sprains & Strains

    A sprain is the stretching or tearing of ligaments that connect one bone to another, often caused by a fall or sudden twisting of a joint. A strain can be a simple stretch in a muscle or tendon (the fibrous cords of tissue that attach muscles to bone), or it can be a partial or complete tear in the muscle-tendon combination.

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