Conditions We Treat
- Sports Injuries
- Bone disorders
- Bowed legs
- Knock knees
- Hip dysplasia (DDH)
- Leg length inequality
- Limb deformity
- ACL injuries
- Meniscus and cartilage problems
- Neuromuscular conditions
Clubfoot is a deformity of one or both of the feet that is present at birth. Affected feet are turned inward and the surrounding tissues are tight or stiff preventing the foot from being brought into its normal position. Unlike some other foot deformities in newborns, clubfoot does not correct on its own and so early treatment is important to correct the foot and allow for normal walking later on.
Most clubfeet can be corrected with primarily nonsurgical methods including stretching and casting. Bracing is used after correction to maintain the foot or feet in a good position. Children born with clubfeet typically enjoy normal function after treatment and are able to participate in sports and other physical activity.
Your pediatric orthopedic specialist can guide and inform you on options for treatment of clubfeet and other childhood foot deformities.
We encourage active play in our children, but the downside is that fractures can occur. Fractures are perhaps the most common reason children and adolescents end up in the orthopedics office. While fractures can occur at any age, the diagnosis and treatment of fractures in growing children is different than in adults. Some fractures may affect growth areas of bones and particular vigilance may be required during healing and afterwards. The good news is that growing bones have a remarkable capacity for healing and remodeling after injury and with appropriate treatment kids can be back to play in short order.
Developmental Dysplasia of the Hip (DDH) is a condition that occurs when the hip fails to develop normally either in utero before birth, or during childhood. Hip dysplasia can occur for many reasons and is more common in newborn females and first born children, and may be affected by the baby’s position in the uterus. Children with developmental or neurologic delays may develop hip dysplasia during childhood.
DDH encompasses a wide spectrum of issues. On one end, affected hips may be completely dislocated. On the other end of the spectrum, children may be completely asymptomatic and the involved hip may simply have a shallow socket. Treatment likewise encompasses a wide range of possibilities, both surgical and nonsurgical. Your orthopedic specialist can help find the right treatment for a child’s particular situation.
“Knocked knees” and “bow legs” are common in children. Often these are normal conditions during growth but sometimes bowing of the legs can be abnormal and require a visit with a pediatric orthopedist.
Limb deformities in children can occur for a variety of reasons. Some are a result of medical conditions or syndromes that affect growth or development of limbs. Others are a result of trauma or injuries, or may occur if a growth plate of a bone is damaged after a fracture or bone infection. Sometimes one limb is simply longer than the other.
Some limb irregularities are benign and simply need observation. Others may require corrective surgery or bracing. In some cases we can harness a child’s own growth to help correct irregularities or deformities.
Treating limb deformity begins with a careful evaluation of the patient. This involves detailed physical exam and often involves xrays or other diagnostic tests. Once the deformity is well understood, the orthopedist can help to design a strategy to address and correct and problems and restore function.
Scoliosis and other spine deformities are relatively common in children and adolescents. In fact, 3-4 percent of children may develop scoliosis. Fortunately most cases require little more than observation and reassurance. In some cases, a curve of the spine may progress. These patients may benefit from bracing or other nonsurgical treatments or in the most advanced cases, from spinal surgery.
While most spine deformity in children will not need surgery, it is important to have scoliosis evaluated as curve progression goes hand in hand with growth. Your orthopedic specialist can help determine if a curve needs follow up or treatment to prevent problems down the road.
Children and adolescents are participating in sports more than ever. As a result, we see more sports injuries than ever before as well. Some injuries are unique to children with growing bones. Other injuries, like ACL injuries, require specialized treatment in young patients to protect the growth plates of bones. Pediatric sports medicine specialists bring skill in treating sports injuries with an appreciation for challenges of working with growing muscles, ligaments, and bones.
Injuries treated include:
- Overuse injuries
- Pitching injuries
- ACL tears
- Meniscus injuries
- OCD or other cartilage injuries
- Patellar dislocations
- Foot and ankle injuries
- Other sports related injuries
Focus and Approach
As pediatric orthopedic specialists, we treat a wide range of issues that can affect growing muscles and bones. These issues range from fractures and other injuries to developmental or congenital abnormalities of the musculoskeletal systems. To help deal with such a wide range of issues, we have many treatment tools. Many pediatric orthopedic problems can be treated nonsurgically with casting, bracing, therapy, or other modalities. When surgery is required we employ techniques and tools designed for children and adolescents to protect and preserve growth and fuction.
Many conditions require a team approach to treatment. We work with physical and occupational therapists, orthotists, and other specialists to ensure our patients get the care they need beyond the operating room or ER.