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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

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

    Sciatica

    Most common between 30 and 50 years of age, sciatica is a pain in your lower back or hip that radiates to the back of your thigh and into your leg. Often people think that the source of the pain is the buttock, hip or thigh and seek medical care for a “hip” problem only to learn that the source of the pain is the lower back.

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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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    • 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, 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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