crystal clinic orthopaedic center summit hand

Pediatric Injuries

Conditions

  • Hand Fractures

    Hand Fractures

    The hand is one of the most flexible and useful parts of our body. Because of overuse in various activities, the hands are more prone to injuries, such as sprains and strains, fractures and dislocations, lacerations...

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  • Wrist Fractures

    Wrist Fractures

    The wrist is comprised of two bones in the forearm, the radius and ulna, and eight tiny carpal bones in the palm.

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  • Forearm Fractures

    Forearm Fractures

    The radius (bone on the thumb side) and ulna (bone on the little-finger side) are the two bones of the forearm. Forearm fractures can occur near the wrist, near the elbow or in the middle of the forearm.

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  • Elbow Fractures

     Elbow Fractures

    The elbow is a joint that consists of three bones – the humerus (upper arm bone), radius (forearm bone) and ulna (forearm bone).

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  • Arm Fractures

    Arm fractures are common in children as they are very active. Most fractures occur by falling on an outstretched arm. As children’s bones are still growing and have different consistency than adults, evaluation and treatment for fractures may differ.

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  • Shoulder Fractures

    The shoulder joint is a ball and socket joint. A 'ball' at the top of the upper arm bone (the humerus) fits neatly into a 'socket', called the glenoid, which is part of the shoulder blade (scapula). The labrum is a ring of fibrous cartilage surrounding the glenoid for stabilization of the shoulder joint.

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  • Sports Injuries

    The number of children participating in sports activities has been increasing over the recent years resulting in a substantial rise in the incidences of sports injuries.

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  • Sprains

    Joints are stabilized by ligaments which connect bones. A sprain is an injury that causes a ligament to stretch or partially tear. When compared to adults, children have relatively stronger ligaments than bones, so there is an increased likelihood of an accompanying fracture.

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  • Growth Plate Injuries

    Growth plates are areas of soft, cartilaginous tissues present at the end of long bones in growing children.

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  • Dislocations

    Dislocation refers to the disruption of a joint from the separation of two bones which articulate with each other at the joint. It may cause a temporary deformity and immobilization of the affected joint along with severe pain.

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  • Tendon Injuries

    Tendons are the bands of fibrous connective tissue that connect muscles to bone. Tendons aid in movement of the fingers, hand and all other body parts.

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  • Nerve Injuries

    Nerve Injuries

    Nerves form the central nervous system and are involved in conducting messages from the brain to other parts of the body.

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  • Gymnast's Wrist (Distal Radial Physeal Stress)

    Gymnast’s wrist is a condition that usually affects young gymnasts due to weight bearing stresses on the wrist joint. It causes pain on the thumb side of the wrist and decreased range of motion and can affect bone growth.

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  • Preiser's Disease (Scaphoid AVN)

    The scaphoid is one of the bones in the wrist close to the base of the thumb. Preiser’s disease is avascular necrosis of the scaphoid bone which can cause wrist pain. This condition rarely occurs in children.

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  • Congenital Trigger Thumb and Finger

    Congenital trigger thumb is a condition in which a child’s thumb remains flexed due to thickening of a tendon. This condition is usually painless and may be seen in both hands.

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  • Madelung's Deformity

    Madelung’s deformity is a wrist deformity seen in children due to poor growth of the radius at the wrist. This causes impaction of the ulna at the wrist which can lead to dislocation and deformity.

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  • Physeal Injuries

    The physes or growth plates are areas of bone growth seen at the ends of long bones in growing children. Physeal injuries such as forearm fractures near the wrist require immediate attention as they can affect growth of the bones leading to deformity.

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Procedures

  • Fracture Care

    Fractures generally heal very quickly in children. Most upper extremity fractures are treated by casting or splinting. Fractures that are displaced need to be reduced either manually or with surgery if there is severe displacement.

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  • Casting and Water Proof Casting

    Casting is considered a non-surgical treatment option for various sports injuries and medical conditions affecting areas from the hands and shoulders to knees and toes.

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  • Repair of Tendons, Nerves, Arteries, Fractures

    Most children respond well to surgery for repair of tendons, nerves, arteries and fractures involving the hand. Tendons, nerves and arteries may be repaired using microsurgical techniques. Unstable or displaced fractures are repaired by realigning the bone fragments and using devices to provide stability.

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  • The American Board of  Orthopaedic Surgery
  • Allegheny General Hospital
  • University of Pittsburgh  Medical Center
  • University of Cincinnati College of Medicine
  • American Society for Surgery of the Hand
  • American Association for Hand Surgery: AAHS
  • Alpha Omega Alpha