Pediatric Orthopedic Surgery

Pediatric Orthopedic Surgery

Pediatric orthopedic surgery is a specialized field dedicated to diagnosing, treating, and managing musculoskeletal problems in infants, children, and adolescents. This includes congenital and developmental issues, deformities, hip and foot problems, spinal conditions, hand abnormalities, and complex fractures and injuries. Children’s bones, muscles, and joints are still developing, making their orthopedic needs different from those of adults. At Golden State Orthopedics & Spine, we understand these unique requirements and provide comprehensive care tailored to young patients.

Congenital and Developmental Problems

Congenital orthopedic conditions are those present at birth, while developmental issues arise as a child grows. Examples include clubfoot, hip dysplasia, and scoliosis. Clubfoot, a condition where a newborn’s foot is twisted out of shape, requires early intervention with methods like casting or surgery to correct the deformity. Hip dysplasia involves an abnormal formation of the hip joint and can lead to dislocation if untreated. Treatments range from bracing to surgery, depending on the severity. Scoliosis, a lateral curvature of the spine, is often detected during growth spurts and managed with observation, bracing, or surgery based on the curve’s progression.

Hip and Foot Problems

Hip problems in children can include conditions like Legg-Calvé-Perthes disease and slipped capital femoral epiphysis (SCFE). Legg-Calvé-Perthes disease occurs when the blood supply to the femoral head is temporarily interrupted, causing bone death and potential deformity. Treatment may involve physical therapy, bracing, or surgery. SCFE is a condition where the femoral head slips off the neck at the growth plate, often requiring surgical intervention to stabilize the joint and prevent further slippage.

Foot problems such as flatfoot and toe walking are common in children. While flatfoot often resolves without treatment, persistent cases might require orthotic devices or surgery. Toe walking, frequently seen in toddlers, typically resolves as they grow, but persistent toe walking may necessitate physical therapy or surgical correction.

Spine Problems

Spinal conditions in children include scoliosis, kyphosis, and spondylolysis. Kyphosis, an excessive outward curvature of the spine, can result from poor posture or structural abnormalities and is treated with exercises, bracing, or surgery. Spondylolysis, a stress fracture in one of the vertebrae, is managed with rest, physical therapy, or, in severe cases, surgery.

Hand Problems

Hand deformities and injuries in children can range from congenital conditions like syndactyly (webbed fingers) and polydactyly (extra fingers) to traumatic injuries. Early intervention with surgical procedures can correct these deformities, enhancing function and appearance. Traumatic hand injuries require prompt and specialized care to ensure proper healing and function.

Complex Fractures and Injuries

Children’s bones are more pliable than adults’, leading to different fracture patterns like greenstick fractures, where the bone bends and cracks. Treatment involves casting or splinting to ensure proper healing. In some cases, surgical intervention is necessary to realign and stabilize the bones.

Leg Length Discrepancy

Leg length discrepancy, where one leg is shorter than the other, can result from congenital conditions, growth plate injuries, or diseases affecting bone growth. Treatment options vary based on the severity of the discrepancy and the child’s age. Methods include nonsurgical approaches like shoe lifts and physical therapy or surgical techniques to lengthen the shorter leg or slow the growth of the longer leg.

Pediatric Orthopedic Treatments

Treating children is distinct from treating adults due to their unique physical and emotional needs. Pediatric orthopedic surgeons are specially trained to interact with children, ensuring a comfortable and cooperative environment during examinations and treatments. They utilize equipment designed for children, and their offices are often decorated with children’s comfort in mind, featuring toys, videos, and reading materials to create a non-threatening atmosphere.

Examination and Diagnosis

Pediatric orthopedic surgeons are adept at communicating with children to understand their symptoms and concerns. They employ child-friendly examination techniques and diagnostic tools to assess musculoskeletal issues accurately. Imaging techniques like X-rays, MRI, and CT scans are adapted for pediatric use to minimize discomfort and ensure precise diagnosis.

Non-Surgical Treatments

Non-surgical treatments are often the first line of defense in pediatric orthopedics. These may include physical therapy, bracing, casting, and orthotic devices. Physical therapy helps improve strength, flexibility, and function, while bracing and casting stabilize and correct deformities. Orthotic devices, like shoe inserts and custom braces, support proper alignment and growth.

Surgical Treatments

When surgery is necessary, pediatric orthopedic surgeons employ techniques tailored to children’s growing bodies. Procedures range from minimally invasive arthroscopy to complex reconstructive surgeries. Advances in surgical methods and technology have significantly improved outcomes, reducing recovery times and enhancing the effectiveness of treatments.

Creating a Child-Friendly Environment

The physical and emotional well-being of young patients is paramount in pediatric orthopedics. Pediatric orthopedic offices are designed to be welcoming and non-threatening, with examination rooms and waiting areas equipped with child-friendly amenities. This approach helps reduce anxiety and makes medical visits less intimidating for children and their families.

Expertise and Training

Pediatric orthopedic surgeons undergo extensive training to manage the unique challenges of treating children. This includes specialized education in pediatric musculoskeletal development, congenital and developmental disorders, and pediatric trauma care. Their expertise ensures that children receive the highest standard of care tailored to their specific needs.

Multidisciplinary Approach

Pediatric orthopedic care often involves a multidisciplinary team, including pediatricians, physical therapists, and occupational therapists. This collaborative approach ensures comprehensive care, addressing all aspects of a child’s condition. For complex cases, such as those involving multiple systems or requiring long-term management, this team approach is crucial for optimal outcomes.

Conclusion

Pediatric orthopedic surgery is a specialized field that addresses the unique musculoskeletal needs of infants, children, and adolescents. At Golden State Orthopedics & Spine, we are committed to providing comprehensive, child-friendly care for a wide range of conditions, from congenital deformities to traumatic injuries. Our team of highly trained pediatric orthopedic surgeons ensures that every child receives the best possible treatment in a supportive and understanding environment. If your child is experiencing orthopedic issues, rest assured that our expertise and compassionate approach will help them achieve the best possible outcomes. We strive to create a comfortable, safe, and effective healing process for our young patients and their families.