As more children are participating in organized sports at younger ages, often specializing in a single sport with high levels of competition, overuse injuries have become increasingly common among young athletes. It is important for providers to recognize common overuse injuries and their accompanying symptoms for proper diagnosis and management. Some common pediatric sports overuse…
Fractures are common in children, but multiple fractures in the absence of severe trauma may warrant a more thorough evaluation. An estimated 25% to 40% of girls and 30% to 50% of boys sustain a single fracture by adulthood. An estimated 16% to 25% have more than one fracture. The age range where fractures happen…
Forearm fractures, one of the most common pediatric fractures, can be safely and effectively treated with cast immobilization. Younger children heal faster, so the time in a cast should be limited to four to six weeks, while teens generally take six weeks to heal. “It’s important that pediatric patients see a pediatric orthopedist so they…
Sports overuse injuries in children have become quite common as the pressure for students to complete in year-round sports, such as travel and tournament teams, has increased over time. “Being active and participating in sports is a good thing for kids,” said James E. Moyer, M.D., pediatric orthopedic specialist with Norton Children’s Orthopedics of Louisville,…
The patient A female age 5 years and 11 months presented for evaluation of spinal deformity and back pain in September 2020 from a pediatrician referral. X-rays showed a 53-degree scoliosis curve in the thoracic spine and 42 degrees in the lumbar spine. An MRI was ordered to look for any other spino-neural axis abnormalities….
When a child who plays sports is limping, it’s often the result of a sprain or an overuse injury, but there are more serious injuries and conditions a clinician should consider. “In many cases there is at least some trauma, whether you just stubbed your toe or broke your ankle, so trauma — especially in…
The patient The 12-year-old female presented with concern for spinal deformity. Initial curvature was 30-degree right thoracic curve and a 24-degree left lumbar curve. She was treated with a thoracic lumbar sacral orthosis (TLSO). Unfortunately, her curve progressed to over 45 degrees in the thoracic spine and 35 degrees in the lumbar spine. The challenge…
Children with scoliosis or other conditions that require frequent imaging and the accompanying radiation risks now have a low-dose imaging option. The EOS Imaging full-body imaging system delivers 50% to 85% less radiation than traditional X-ray and 95% less radiation than CT. Radiation from EOS technology is equivalent to a week’s worth of natural radiation….
The patient A 14-month-old female presented to the emergency department with fever and refusal to bear weight. She had bilateral ear tube insertion 13 days previously and presented to her primary care provider (PCP) three days prior for a viral respiratory infection. She presented to her PCP the day before her admission for refusal to…
Anterior cruciate ligament (ACL) injuries have been increasing in incidence, especially in younger populations with open physes. Techniques to return mechanical integrity to the knee while protecting the physis are key to treatment in this population. The physis is a complex structure at the end of long bones that allows for both longitudinal and appositional…
Spine and orthopedic specialists at Norton Healthcare and Norton Children’s are using low-radiation EOS Imaging to evaluate and monitor spine conditions such as scoliosis and conditions affecting the hips and lower limbs. The EOS system delivers 50% to 85% less dose than digital radiography and 95% less dose than computed tomography (CT). Follow-up spine exams…
Osteogenesis imperfecta (OI) is a clinically heterogeneous, heritable disorder characterized by increased bone fragility with a predisposition to fractures, low bone mass, bone deformities and short stature. It affects an estimate 1 in 10,000 to 1 in 20,000 live births. “There are highly variable presentations and a spectrum of severity that are present in osteogenesis…