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

    Combined Knee Ligament Injuries

    Because the knee joint relies just on ligaments and surrounding muscles for stability, it is easily injured. Direct contact to the knee or hard muscle contraction, such as changing direction rapidly while running, can injure a knee ligament. It is possible to injure two or more ligaments at the same time. Multiple injuries can have serious complications, such as disrupting blood supply to the leg or affecting nerves that supply the limb’s muscles.

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    • Hand & Wrist

    De Quervain’s Tendinitis

    De Quervain’s tendinitis occurs when the tendons around the base of the thumb become irritated or swollen, causing the synovium around the tendon to swell and changing the shape of the compartment, which makes it difficult for the tendons to move properly.

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    • Fractures, Sprains & Strains
    • Sports Medicine

    Fractures

    A fracture is a broken bone. Although bones are rigid, they do bend with limited flexibility when outside force is applied. When that force is too great, the bone will fracture. Common causes of fractures include: trauma, such as auto or sports-related accidents; osteoporosis, which can weaken the bone; or overuse caused by repetitive motion that can tire muscles and place excess force on the bone, resulting in stress fractures like those most often seen in athletes.

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    • Foot & Ankle
    • Joint Disorders

    Hallux Rigidus (Stiff Big Toe)

    Hallux rigidus usually develops in adults 30-60 and occurs most commonly at the base of the big toe, or MTP joint. When articular cartilage in the MTP joint is damaged by wear-and-tear or injury, the raw bone ends can rub together and a spur, or overgrowth, may develop on the top of the bone. Because the MTP joint must bend with each step, hallux rigidus can make walking painful and difficult.

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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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    • 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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    • Pediatric Injuries
    • Sports Medicine

    Overuse Injuries in Children

    Although the benefits of athletic activity are significant, young athletes are at greater risk for injury than adults because they are still growing. Some children play on multiple team sat the same time while others participate in one sport, all year long. Repetitive use of the same muscle groups places unchanging stress to specific areas of the body, leading to muscle imbalances that, when combined with overtraining and inadequate rest periods, can put children at serious risk for overuse injuries.

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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
    • 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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    • Fractures, Sprains & Strains
    • Hand & Wrist

    Wrist, Scaphoid Fracture

    Fractures of the scaphoid occur in people of all ages. This fracture often happens as a person tries to break a fall and lands on an outstretched hand with the palm bearing most of the weight. Automobile accidents and sports injuries are also frequent causes.

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