News and Research

Children, adolescents (teenagers), and adults are all groups who sustain a clavicular fracture (clavicular refers to the collar bone). A bone break in the middle of the clavicle with displacement (sep …more
Age 55 used to be considered “too young” for a total hip replacement. Concerns about how long the implant would last, bone loss with future surgeries, and a high rate of complications often meant pati …more
The clavicle known more commonly as the “collar bone” is the most commonly fractured bone in children. No surprise there since falling on the point of the shoulder is the way the bone gets broken in t …more
One of the biggest concerns for children with ankle fractures is the risk of damage to the growth plate called physeal arrest. Surgeons evaluating children with physeal fractures of the lower leg bone …more
If you are a parent, nanny, grandparent, or caretaker of any kind for children, you know the moment of panic when the child comes running in crying, holding the arm, often in hysterics. Or worse — so …more
Any fracture affecting the growth plate of bones in children can result in stopping growth. Disturbance of growth after fracture of the distal femur (bottom end of the thigh bone just above the knee) …more
Whenever we take our son into see the Physical Therapist, she always uses a funny looking metal device to measure his leg motion. I can’t remember what the thing is called but it just seems to me like …more
We are the parents of a 15-year-old boy who started having foot pain last year when he started running with a friend. Turns out he has one bone instead of the usual three bones in his right foot. The …more
What is a tarsal coalition? I know it’s in the foot but I don’t know what it is exactly. Tarsal coalition is the failure of the developing bones in the foot to properly form all the distinct, individu …more
Trigger finger and trigger thumb are conditions affecting the movement of the tendons as they bend the fingers or thumb toward the palm of the hand. This movement is called flexion. Trigger thumb is m …more
In the United States, a club foot deformity (known as congenital talipes equinovarus) in a baby or young child is treated quite successfully. A special treatment technique called the Ponsetti method i …more
Young children in good health are known to heal quickly. This is generally true for many conditions from bug bites to bone fractures. Some bone fractures can be complicated by infection or joint dislo …more
The forceful and repeated actions of sports can strain the immature surface of the knee joint in children and teens. The bone under the joint surface weakens and becomes injured, which damages the blo …more
Many people of all ages suffer from a condition known as recurrent patellar dislocation or patellar instability. In this condition, the patella or kneecap as it is more commonly referred to pops off t …more
Surgeons Take a Closer Look at Drehmann Sign in Children with Slipped Capital Femoral Epiphysis Slipped capital femoral epiphysis (SCFE) is a condition that affects the hip in teenagers between the ag …more
Early Report on Use of Titanium Elastic Nails for Pediatric FracturesSurgeons in China proudly report their early experiences using titanium elastic nails (TENs) in children. Fractures of the proximal …more
Young athletes with anterior cruciate ligament (ACL) tears face a unique problem. Surgery to repair or reconstruct the damage can disturb bone growth. But delaying surgery until bone growth is complet …more
Back pain in children that doesn’t go away is a red flag symptom. Although rare, serious causes of back pain such as tumors, infection, and disc herniations must be considered. In this article, pediat …more
More and more children around the world are reporting low back pain. In this study, public health officials from China report on this problem among their children. It turns out that one-fourth of all …more
You might not know it to look at them but teenagers are suffering more chronic pain than we ever realized before. Thanks to this study of over 7,000 participants, we know that 44 per cent of adolescen …more
There’s an old saying in medicine, “If you hear hoof beats, think horses not zebras.” It means to look for the obvious not search for strange, unusual causes of symptoms. But in the case of hip pain i …more
Spinal fractures from the improper use of seatbelts are associated with car accidents. Children are at risk for Chance spinal fractures when they are not properly restrained or only partially restrain …more
In this expert opinion, two pediatric orthopedic surgeons from Children’s Hospital in Boston discuss femoroacetabular impingement caused by Perthes disease. Perthes disease of the hip (also known as L …more
Here are some sobering and disturbing statistics about all-terrain vehicle (ATV) accidents in children. According to records kept at hospitals around the United States, there have been 4483 children h …more
What is the current thinking about the use of braces in the treatment of Legg-Calvé-Perthes disease? This was a popular treatment approach 35 years ago. But is it still relevant today? The auth …more
Children with severe scoliosis (curvature of the spine) may have surgery to insert a rod along the spine. The rod helps keep the spine straight. It’s actually a growing rod, which means it operates li …more
Ecclesiastes is often quoted from the Bible saying, “There is nothing new under the sun.” There is still some truth to that idea but in today’s modern world, there are,indeed, a few new things under t …more
Are X-rays Really Needed for Children with Heel Pain? Many parents are concerned about exposing their children to radiation. Limiting dental and medical X-rays is one way to avoid overexposure to ion …more
Growing pains in children are nothing new. Physicians back in the 1800s made note of them. But are they real? And if so, what are they really? If you ask the children affected by this condition, you’l …more
Every now and then, when you rub your hand along a bone, you may feel some odd dents and bumps. That’s normal. But some people have many bony bumps or protuberances called exostoses or osteochondromas …more
Over the past 50 years, orthopedic surgeons have changed and improved the way spinal deformities are corrected in children. Safer and more effective ways to correct and hold the spine straight have be …more
Picture this: you have a young child who has had hip surgery and is now in a hip spica cast. That’s a cast from the waist down to the toes. Sometimes it is two-legged (goes down both legs). In other c …more
When it comes to scoliosis in very young children, things are changing in the world of pediatric orthopedics. The traditional treatment with spinal fusion, casting, and bracing is being replaced by gr …more
Most adults think about having a hip arthroscopy exam for hip pain from age-related degenerative osteoarthritis. Many are thinking they might need a hip replacement. But, in fact, inserting a surgical …more
If once a week treatment for clubfoot works well, would twice a week get better, faster results? That’s the question Dr. Rui Jiang Xu from the Department of Pediatric Orthopaedic Surgery in Beijing, C …more
Physical Therapy in St. Louis West County for Pediatric Issues Children with a condition called complex regional pain syndrome or CRPS often suffer intense pain and swelling of the affected arm and h …more
Today, children with severe congenital spinal scoliosis benefit from the use of “growing rods”. The surgeon places one or two rods down the spine to help straighten the curved vertebrae. The rods leng …more
If you are looking for information on Legg-Calvé-Perthes Disease, look no further. In this review article, Dr. Harry K. W. Kim from the Center for Excellence in Hip Disorders (Dallas, Texas) pr …more
Modern medicine can perform many “miracles” these days. Among them is the ability to surgically straighten a spine that is severely curved from a childhood condition called scoliosis. Pediatric spinal …more
Treatment of bone fractures in teenagers should not be viewed the same as for children. So say orthopedic surgeons from Cincinnati Children’s Hospital Medical Center. Not only that, but they shouldn’t …more
When a child fractures a bone and treatment is delayed, parents may worry excessively about the effects of that delayed treatment. Sometimes there just isn’t an orthopedic surgeon available to evaluat …more
Slipped capital femoral epiphysis (SCFE) is a condition that affects the hip most often in teenagers between the ages of 12 and 16. Cases have been reported as early as age nine years old. In this con …more
Scoliosis (curvature of the spine) can be a serious problem in young children. The spine can curve so much that the lungs and heart are compressed causing deadly complications. When scoliosis is prese …more
You may not be familiar with the termsleeve fracture of the patella (kneecap). That’s not surprising since this is a very rare injury. Of all the bone breaks children have, the kneecap is only involve …more
Slipped capital femoral epiphysis (SCFE) is a condition that affects the hip in teenagers between the ages of 12 and 16 most often. Cases have been reported as early as age nine years old. In this con …more
For 50 years, children born with developmental dysplasia of the hip (DDH) have been treated successfully with the Pavlik harness. Most studies show that the earlier the treatment, the better the resul …more
How heavy is your child’s backpack and what is that weight doing to their back? This article scientifically studies that exact question. Let the Physical Therapists at Breakthrough Performance & Wellness advise you …more
Most people are familiar with strep throat or a staph infection in children. But these bacteria can enter the bloodstream and travel throughout the body. For some as yet unknown reason, the bacteria t …more
Sixty years ago, Dr. Arnold Pavlik designed a special harness for the treatment of developmental dysplasia of the hip (DDH). It is still in use today as the number one choice for this condition in bab …more
Children with Blount disease often need surgery to restore normal knee alignment and reduce pain. The result is decreased disability and improved function. Blount disease is a condition of bowlegged k …more
Parenting a child who is living with chronic pain can be a difficult task. As a parent, you feel as if you must be able to help your child at all costs, especially removing something that is causing i …more
There are many conditions that can cause back pain in children and the authors of this review article focused on the causes and risk factors for children developing back pain, as well as diagnosis and …more
Children are known for getting into scrapes and often enough, breaking bones. Statistics show that about 10 to 25 percent of all injuries among children are bone fractures (breaks). But, despite fract …more
Children born with a foot deformity called clubfoot can be treated without surgery when they are just a few months old. In fact, success is much greater when treatment is applied before the child is t …more
Young children should not go down a playground slide while sitting on another person’s lap. This was the conclusion of a study looking at playground injuries. In particular, one pediatric surgeon revi …more
Back pain in adults is so common, eight out of 10 people will experience it at least once (and often more than once) in their lifetime. Most of the time, no one even knows what’s causing it — the con …more
Many young sports athletes are tripped up by their own skeletal system. Traumatic and overuse injuries affecting the physes (growth plates) can result in permanent deformity. Undiagnosed, untreated, a …more
When it comes to the nonoperative (Ponseti) treatment of clubfoot in children, does it matter if a Physical Therapist manages care versus the orthopedic surgeon? According to this study, quality of ca …more
In this study, surgeons look into the cause of toeing-in or toeing-out while walking for children with Perthes disease. Nine children with this condition were included. They didn’t develop this change …more
As physical activity drops among North American children, doctors are seeing a rise in disorders, such as type 2 diabetes, coronary heart disease, and stroke later on in life. Back pain is also someth …more
Despite all the focus on childhood obesity, there are still a large number of teens involved in physical activity and exercise. For example, last year, more than seven million high school students par …more