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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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    • Arthritis
    • Elbow
    • Joint Disorders

    Elbow Arthritis

    Elbow arthritis is a common cause of elbow pain and stiffness, but is less common than arthritis in other joints of the body. 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. When large areas of bone are exposed, they grind against each other with standing and walking. This is “bone on bone” arthritis and is usually painful.

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    • Joint Disorders
    • Shoulder

    Frozen Shoulder (Adhesive Capsulitis)

    In frozen shoulder, also called adhesive capsulitis, the tissues of the shoulder capsule become thick, stiff and inflamed. Stiff bands of tissue (adhesions) develop and, in many cases, there is a decrease in the synovial fluid needed to lubricate the joint properly. Over time the shoulder becomes extremely difficult to move, even with assistance. Frozen shoulder generally improves over time, however it may take up to 3 years

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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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    • 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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    • Knee
    • Pediatric Injuries
    • Sports Medicine

    Patella Tendinitis & Patella Tendinosis

    Pain in the patella tendon is a common problem, especially in people who participate extensively in running or jumping activities. Pain in the patella tendon can be separated into two main conditions: patella tendinitis and patella tendinosis.

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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
    • Ligament Disorders

    Plantar Fasciitis

    Although the plantar fascia is designed to absorb the high stresses and strains placed on the feet, sometimes too much pressure can damage or tear these tissues. The body’s natural response to such an injury is inflammation, which results in heel pain and stiffness of plantar fasciitis.

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    • Neck and Back (Spine)

    Preventing Back Pain

    Back pain can vary according to the individual and underlying cause. The pain may dull, achy, sharp, stabbing, or it may feel like a cramp, or “charley horse.” The intensity of pain may worsen with certain activities, such as bending, lifting, standing, walking or sitting.

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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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    • Elbow
    • Pediatric Injuries
    • Sports Medicine

    Throwing Injuries to the Elbow in Children

    The beginning of baseball season in spring is often followed by an increase in overuse injuries in young baseball players, particularly pitchers and other players who throw repetitively. Two of the most frequent throwing injuries to the elbow are medial apophysitis (little leaguer’s elbow), and osteochondritis dissecans.

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    • Hand & Wrist

    Trigger Finger

    With trigger finger, when you try to straighten your finger, the tendon becomes momentarily stuck at the mouth of the tendon sheath tunnel. As the tendon slips through the tight area, you might feel a pop as your finger suddenly shoots straight out. Symptoms may include: a tender lump in your palm, swelling, a catching or popping sensation in finger or thumb joints, and pain when bending or straightening a finger.

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