Sports specialization has become increasingly common amongst young athletes, as have the rates of both orthopedic injuries and major injuries such as ACL tears. These concerning trends are not coincidental, reports Mininder Kocher, MD, M.P.H, an orthopedic surgeon and the associate director of Boston Children’s Sports Medicine Division, in a recent presentation to the American Academy of Orthopedic Surgeons (AAOS).
For many patients with idiopathic scoliosis, wearing a brace can be a stressful and challenging endeavor. Throughout this process, supporting and encouraging your patient can be just as crucial to their treatment’s success as monitoring the brace-wearing regimen.
Michael Glotzbecker, MD, an orthopedic surgeon in the Spinal Program at Boston Children’s Orthopedics and Sports Medicine Center, and Deborah Cranford, RN, a nurse at Boston Children’s who works closely with scoliosis patients, provide insights and tips on how clinicians can help patients better manage their scoliosis treatment.
Approximately one in every thousand children is born with a congenital upper limb difference. These conditions can include complete or partial absence of a limb, failure of fingers to separate, duplication of fingers, overgrowth and undergrowth as well as constriction ring syndrome. Along with the physical differences this presents as a child grows and develops, there can also be mental and emotional challenges.
A recent study led by Donald S. Bae, MD, a pediatric orthopedic surgeon in the Hand and Upper Extremity Program at Boston Children’s Orthopedics and Sports Medicine Center, evaluated the physical level of function as well as the mental and emotional health of almost 600 children with congenital upper limb differences. Ultimately, the study found that while children with congenital hand differences had decreased upper limb function, they have better peer relationships and positive emotional states compared to population norms.
Dislocation or subluxation of the patella or “kneecap” is a common acute injury for young athletes, especially in sports and activities such as basketball, football, lacrosse, gymnastics and dance. These injuries may be routinely observed in clinic, and depending on severity, may warrant a referral to a pediatric orthopedic specialist.
The term “patellofemoral instability” can refer to both the condition in which an individual experiences a traumatic dislocation of their patella, and the general instability that a patient can feel or a physician may observe upon examination. In both cases, there are observations that may be made or treatments that can be provided that may reduce the risk of a dislocation event occurring in the future, as well as protect a young athlete from further damage.
Notes talked to Matthew Milewski, MD, a pediatric orthopedic surgeon in Boston Children’s Orthopedics and Sports Medicine Center, about how to best care for young athletes with patellofemoral instability.