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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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    • 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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    • Arthritis
    • Hand & Wrist
    • Joint Disorders

    Hand & Wrist Arthritis

    There are many small joints in the hand and wrist that work together to produce the fine motion necessary to perform detailed tasks such as threading a needle or tying a shoelace. When one or more of these joints is affected by arthritis, even simple activities can become difficult. Although there are many types of arthritis, most fall into one of two major categories: osteoarthritis and rheumatoid arthritis, or RA.

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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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    • 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
    • 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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    • 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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    • 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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    • 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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    • Joint Disorders
    • Minimally Invasive Surgery (Arthroscopy)
    • Shoulder

    Shoulder Arthroscopy

    Shoulder arthroscopy may relieve the painful symptoms of many problems that damage the rotator cuff tendons, labrum, articular cartilage, or other soft tissues surrounding the joint. This damage may be the result of an injury, overuse, or age-related wear and tear.

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    • Joint Disorders
    • Shoulder
    • Sports Medicine

    SLAP Tear

    A SLAP (Superior Labrum Anterior and Posterior) tear is an injury to the top (or superior) part of the labrum. SLAP tears can be the result of acute trauma, or repetitive overhead sports, such as throwing athletes or weightlifters, have an increased risk of injury to the superior labrum. Many SLAP tears are the result of a wearing down of the labrum that occurs slowly over time.

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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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    • Fractures, Sprains & Strains
    • Hand & Wrist

    Wrist, Distal Radius Fracture

    A broken wrist, or distal radius fracture, is a common fracture that can occur even in healthy bone if the force of trauma is severe enough. This break often happens as a person lands on an outstretched hand when trying to break a fall. Automobile, biking, skiing and other similar accidents are also frequently causes.

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