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Other orthopaedic conditions

Other orthopaedic conditions


Arthrogryposis is characterized by multiple joint contractures, muscle atrophy and muscle shortening present at birth, resulting in limited joint movement. Arthrogryposis is treated on an individual basis and may consist of surgery, physical and/or occupational therapy, as well as bracing and/or splinting.

Cerebral palsy

Cerebral palsy is a disorder of the brain that occurs around the time of a child’s birth. It is related to a lack of oxygen to the brain. There is a spectrum of involvement with both the physical and cognitive abilities of each child. Typically, a pediatric rehabilitation medicine doctor and a pediatric orthopaedic surgeon evaluate each child. Additional referrals to pediatric neurology or genetics may be necessary, which we will help coordinate. The orthopaedic treatment involves managing muscle tightness with orthotics, physical therapy, medicine and occasionally surgery. Part of the evaluation may involve an examination of the child’s function in our state-of-the-art movement analysis lab, which helps the care team determine the best treatment.

Spina bifida

Spina bifida is a birth defect in which the spinal column failed to close around the spinal cord. The initial care, to address the exposed spinal cord and hydrocephalus, is provided by a neurosurgeon.

We begin orthopaedic evaluation and treatment for children with spina bifida after the neurosurgical intervention. Orthopaedic treatment will be delivered in communication with other medical professionals who are providing care. Club feet is a common finding in babies born with spina bifida. Treatment can involve serial casting and surgery on the Achilles tendon.

Developmental milestones are monitored at each visit, as well as the need for bracing or equipment to improve or maintain mobility. Education and resources for bowel and bladder related issues are provided by our specially trained staff.

Osteogenesis imperfecta (OI)

Osteogenesis imperfecta (OI) is a genetic disorder that affects the formation of collagen. Collagen is a major component of bone and soft tissue. There are several types of OI with varying severity. OI is often referred to as “brittle bone disease.” The most common sign of OI is bones that break easily. A child may be born with broken bones and may experience many fractures in early life. Orthopaedic care for OI may consist of treating the fractures by an orthopaedic surgeon. Other treatment modalities consist of pain management as well as administration of medications to increase bone mass. We treat orthopaedic needs and also work with endocrinologists to determine medication needs that will improve bone mass.

Metabolic bone disease

Rickets is a bone disease in children that causes weak bones, bowed legs and other bone deformities. Rickets is due to a disorder in a child’s calcium, phosphorous or Vitamin D; all of which are important for healthy, growing bones. Children with rickets have abnormal growth of the bones resulting in abnormalities such as short legs, bowed legs or knock knees. Orthopaedic treatment is based on the severity of bone deformity and may include orthotics.