ortho - Allure Wellness

The specialty that treats bone defects that are genetic-related, acquired, and those that develop during gestation is called pediatric orthopaedics.

Children with developmental and musculosketal conditions as well as those with congenital bone diseases will need the expert help of pediatric orthopaedics specialists.

Orthopaedic conditions are very common among children.

These conditions are classified as developmental, congenital, or acquired.

Some of the most common pediatric orthopaedic disorders are:

Legs

Bow-legged (Genu varum)

Genu varum can be attributed to a posterior hip capsule that is tight.

The condition will often get resolved once the child turns 2 years old.

In severe cases however, splinting at night is recommended.

Internal tibial torsion

This condition is deemed the most probable cause of in-toeing in children that are aged 2 years and below.

Fortunately, the condition is resolved (even without treatment) once the child starts to walk.

Leg length discrepancy

This condition is often attributed to growth asymmetry.

Treatment approaches can include surgical correction of the longer or shorter leg and inhibition of growth of the longer leg.

Foot

Pes cavus

Pes cavus results to a high arch adn in most cases, does not respond to weight-bearing.

Depending on the condition’s severity, treatment alternatives can include physical therapy, orthotics, and surgery.

Talipes equinovarus

This condition is also known as club foot.

It pertains to the various abnormalities in the tibia, fibula, and the bones.

Likely remedies can include splinting, casting, and manipulation.

In cases that are severe, surgery might be recommended.

Planovalgus deformity

While considered common, this condition is often associated with cerebral palsy.

For ambulatory children with deformities that are mild to moderate in nature, calcaneal lengthening is the likely option.

For children that are non-ambulatory, the relapse rate is high so surgery might not be of much benefit.

Toes

Ingrowing toenail

When the nail’s edge will grow into the surrounding tissues, ingrowing toenail develops.

Treatment options for the condition can range from warm soaks to taking antibiotics.

Severe cases however will already require surgery.

Curly toes

Curly toes often affect the fourth and the fifth toes.

Curly toes can be inherited or bilateral.

Fortunately, at least 25 to 50 percent of the cases get resolved when the child turns 3 to 4 years of age.

Otherwise, surgery would be the likely treatment approach.

Common Orthopaedic Problems in Childhood

Knee

Discoid lateral meniscus

The term refers to the congenital malformation of the lateral meniscus.

If the condition causes the child discomfort, arthroscopic repair might be recommended.

Patellar subluxation and dislocation

This congenital condition often responds well to immobilization.

In chronic cases however, surgery might be necessary.

Osteochrondritis dissecans

Treatment option for this condition can range from immobilization, NSAIDs, and surgery.

Chrondrocyte transplantation has also become one of the likely alternatives recently.

Spine

Spondylolisthesis

When a vertebra slips forward on the vertebra situated below it, this condition occurs.

Physical therapy and NSAIDs are often given as first treatment resorts.

Severe cases of the condition however might need posterior spinal fusion.

Intravenous treatment (often followed by oral antibiotics) is also often prescribed.

Discitis

This condition is deemed uncommon in children.

Back pain, lumbar lordosis loss, and the inability of the patient to flex the lower back are considered some of the condition’s clinical features.

Hip

Slipped capital femoral epiphyses

When the femoral head slips posteriorly, this condition occurs.

The condition is also very common among obese and rapidly growing children aged 12 to 15.

Management of the condition often includes surgical hip pinning.

Transient monoarticular synovitis

This condition will often result to limping and develops after a respiratory infection.

Effective treatment options include rest, physiotherapy, and NSAIDs.

Orthopaedic disorders in children have different treatment interventions. To know what the best treatment route is for your child, visit www.bjios.sg right now.

Simply put, pediatric orthopaedics is the specialty that treats bone defects that are acquired, genetic-related, and those that occur during gestation.

Orthopaedic conditions are prevalent among children.

Those children with congenital bone diseases and those who are suffering from musculoskeletal or developmental conditions can also benefit from the expertise of a pediatric orthopaedics specialist.

Some of the most common pediatric orthopaedic conditions among children are the following:

Foot

Hypermobile pes planus

While this condition often gets resolved when the child turns 6 years old, flexible feet is very common among children.

When symptoms of the condition will manifest, ankle stretch exercises and foot orthoses are often recommended.

Pes cavus

Pes cavus is a condition characterized by a high arch and will not respond to weight bearing.

Treatment approach can include physical therapy, orthotics, and in some cases, surgery.

In most cases however, the treatment approach used will depend on the condition’s severity.

Planovalgus deformity

While quite common, this condition is associated with cerebral palsy.

In ambulatory children, calcaneal lengthening will most likely be recommended to help correct deformities that are considered mild to moderate.

In non-ambulatory children suffering from a severe case of the condition, a high relapse rate is observed and surgery will often not help much.

Tarsal coalition

Common symptoms of this condition include a painful flat foot and calf muscle spasm.

Fortunately, tarsal coalition can be treated using noninvasive alternatives like casts and shoe inserts.

Severe cases of the condition however will often require surgery.

Toes

This condition will often affect the fourth and the fifth toes

Curly toes

This condition will often affect the fourth and the fifth toes.

The condition is also considered hereditary.

In most cases, no symptoms will manifest for curly toes.

Thankfully, as much as 50 percent of cases are resolved as soon as the child turns 3 or 4 years old.

Otherwise, surgery will be recommended.

Hammer toe

This condition will often affect the second toe.

When the condition becomes painful, surgery might be the likely option.

Ingrowing toenail

A condition known as paronychia develops when the edge of the nail grows into its surrounding soft tissue.

Treatment can range from noninvasive alternatives like warm soaks and antibiotics to diverse surgical procedures.

Polydactyly

This condition is considered one of the most common among the many foot deformities.

Severity of the condition can range from soft tissue duplication to major skeletal abnormalities.

In severe cases, surgical intervention might be the recommended treatment route.

Knee

Patellar subluxation and dislocation

The typical treatment for this congenital disorder is immobilization.

However, surgery might be recommended in chronic cases.

Popliteal cyst or Baker’s cyst

Treatment option for the condition is often noninvasive.

In cases however where there is an underlying knee derangement, arthroscopy will most likely be required.

Tibial apophysitis

This condition will often respond very well to conservative treatment alternatives like bracing, activity modification, and orthotics.

Discoid lateral meniscus

The malformation of the lateral meniscus is considered congenital.

If the condition becomes too bothersome, surgery will be recommended.

Hip

Developmental dysplasia

This condition is a spectrum of disorders that affect the acetabulum, proximal femur, and the hips.

Long-term morbidity can be avoided given that the condition will be detected early.

Transient monoarticular synovitis

Known as the common cause of limping, this condition also often develops after a respiratory infection.

Treatment options for the condition can often include physiotherapy, rest, and nonsteroidal anti-inflammatory drugs or NSAIDs.

Perthes’ disease

This condition is considered an idiopathic avascular necrosis affecting the femoral head.

Typical treatment intervention for the condition will often include analgesia, bed rest, and bracing.

In some cases however, a procedure redirecting the femoral head’s ball known as femoral varus osteotomy will be required to correct the condition.

If your child has an orthopaedic condition that needs expert attention, head to www.bjios.sg now.