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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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    • Hand & Wrist

    Dupuytren’s Contracture

    Dupuytren’s contracture is a thickening of the fibrous tissue layer underneath the skin of the palm and fingers. It is a painless condition and not dangerous, however, the thickening and tightening (contracture) of this fibrous tissue can cause the fingers to curl (flex).

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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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    • 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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    • 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)

    Lumbar Spinal Stenosis

    Lumbar spinal stenosis is a common cause of pain in the lower back and legs. As we grow older, our spines change and over time, normal wear-and-tear and the effects of aging can lead to a narrowing of the spinal canal (spinal stenosis). This puts pressure on the spinal cord and spinal nerve roots, and may cause pain, numbness or weakness in the legs.

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    • Joint Disorders
    • Physical Medicine & Rehabilitation (PM&R)
    • Shoulder
    • Sports Medicine

    Shoulder Impingement

    Rotator cuff pain commonly causes tenderness in the front and side of the shoulder. There may be pain and stiffness when lifting the arm, or when lowering the arm from an elevated position.

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

    Thigh Muscle Strain

    Muscle strains usually happen when a muscle is stretched beyond its limit, tearing the muscle fibers. They frequently occur near the point where the muscle joins the tough, fibrous connective tissue of the tendon. A similar injury occurs if there is a direct blow to the muscle. Muscle strains are graded according to their severity.

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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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    • 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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