Growth Plate Fractures: Treatment In Carrollton, TX

by Administrator 27. February 2017 02:52

The growth plate is a mass of cartilage tissue that is found around the edges of the long bones such as the femur, ulna and the radius. Each of these bones has at least two growth plates at their ends and the bone development occurs around these plates.

The growth plate tends to harden or ossify at the end of the growth cycle of the child once the bones have attained their full length. These are weak soft tissue structures that can break with slight external pressure or overuse.
It is estimated that about 30% of the fractures reported during childhood or in young adults, pertain to growth plates. Being soft, this part of the bone is essentially prone to cracks or damage. It becomes imperative to treat such injuries at the earliest as they are crucial determinants of the child’s growth level.

Causes

  • A fall on an outstretched hand or knee
  • Vehicular accidents may have a high impact and crack the bone shaft along with the growth plate
  • Collisions or direct hit to the limb
  • Repeated stress to the joints and the growth plate leading to stress fracture
  • Recreational activities such as biking, skateboarding, skiing etc. may increase the risk of such fractures
  • Growth plate fractures are more common in boys as compared to girls as the latter attain maturity earlier and therefore their growth plates ossify sooner

Symptoms

  • Visibly deformed limb
  • Pain may set in immediately after the injury and may range from severe, localized to persistent
  • A feeling of warmth may spread over the skin around the injured limb
  • Swelling and tenderness
  • Inability to perform daily tasks
  • Limited range of motion

Diagnosis

  • The patient’s medical history, symptoms as well as mode and time of injury may be noted down
  • X-ray imaging may be required to study the damage to the bone structure
  • MRI or CT scan may be done to locate the fracture in the growth plate which is a soft tissue structure

Treatment

The treatment method adopted in each case may differ depending on the child’s age, grade of injury, location of fracture as well as the overall health. These may include the following.

  • Immobilization of the limb using a cast or splint to keep the bones in place while they heal
  • Restricting the levels of patient’s daily activities
  • Some pain killers and anti inflammatory medicines may be prescribed
  • Open Reduction- If unstable fractures are accompanied by bone displacements, surgery may be required. During the procedure, an incision is made to reposition the bone pieces. They are then held in place using screws and pins
  • The limb is secured in a cast post surgery and physical therapy may be recommended
  • Regular follow ups may be required until the child attains maturity to keep a check on the development of the bone

For treatment of Growth Plate Fractures and other orthopedic conditions, visit OrthoTexas. To schedule an appointment, call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.

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Common Football Injuries

by Administrator 25. February 2017 09:40

 

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Orthopedic Treatment For Baker’s Cyst

by Administrator 25. February 2017 02:28

A fluid filled cyst or small sac that forms behind the knee joint is referred to as the Baker’s Cyst. It is also named as Popliteal Cyst. This condition occurs when the joint functioning is hampered due to an internal cause such as damage to the soft tissue structures, Arthritis etc. Such conditions provoke excessive synovial fluid development within the joint which tends to get stored in a soft tissue sac resulting in the formation of a cyst. In normal conditions, the synovial fluid helps to reduce friction between the constituent bones and makes it feasible for us to flex, rotate and move the legs and the knee. However, excessive build up can cause some discomfort which may require immediate medical attention.

Causes

  • Knee injury may alter the flow and distribution of fluid in the joint
  • Osteoarthritis
  • Rheumatoid Arthritis
  • Damage caused to the joint cartilage

Symptoms

  • Pain while flexing the knee
  • Tightness due to the fluid accumulation as the skin around the joint also stretches
  • Swelling or inflammation at the back of the joint
  • In case the fluid filled sac breaks and the fluid outflows into the lower leg, redness and inflammation may occur in the lower extremities
  • Visibly prominent bulge behind the knee
  • Some patients may feel as if water is running down their legs
  • Inflammation in the calf area

Diagnosis

  • The affected joint and leg are observed in detail and the patient may be questioned about the symptoms, past injuries and the onset of the condition
  • MRI test may be required for detailed view of the knee joint and the affected soft tissue structures
  • X-ray imaging may be done
  • Ultrasound testing may be suggested

Treatment

  • The cyst tends to dissolve on its own over the time in most cases. If the symptoms persist or get aggravated, the following methods may be adopted.
  • Draining the excess fluid using a needle which is referred to as Needle Aspiration
  • Ice therapy may provide relief
  • Injecting steroids into the joint to reduce inflammation and pain
  • The knee may be wrapped in a removable bandage for slight compression and support
  • Weight bearing should be avoided for some time and use of crutches or a walker may be recommended
  • Some pain killers and anti inflammatory medicines may be prescribed
  • Maintaining a healthy body weight to avoid stressing the joint may be recommended
  • Gentle exercises that promote range of motion may be incorporated in the daily schedule
  • In case the underlying cause is a cartilage tear, surgery may be required to treat it
  • Physical activity needs to be avoided for some time and the affected joint should be given adequate rest

For diagnosis and treatment of Baker’s Cyst, visit the knee surgeons at OrthoTexas. To request an appointment, you can call at (972) 727 - 9995.

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Congenital Vertical Talus: Orthopedic Treatment In Flower Mound

by Administrator 22. February 2017 02:14

Vertical Talus is a foot deformity that occurs at the time of birth. It is a rare condition that affects the talus, a small bone that is placed between the lower leg bones (fibula and tibia) and the calcaneus (heel bone) to form the ankle joint. This bone acts an important node between the foot and the leg that enables transfer of body weight on to the foot while walking and other physical activities. Congenital Vertical Talus disrupts the formation of the talus bone which in turn displaces the other two bones of the lower leg that then shift on top of the talus. Either one or both the feet may get affected. This condition is also a major cause of Flatfoot formation in newborns. It may lead to serious disability in later life, if left untreated.

Causes

  • Neuromuscular disorders in the baby
  • Spina bifida
  • Neurofibromatosis
  • Arthrogryposis
  • Genetic mutation of a set of genes may be responsible

Symptoms

  • The forefoot tends to point upwards
  • The forefoot may turn up to touch the shin bone
  • Absence of foot arch ( Flatfoot )
  • The base or bottom of the foot may be turned outwards which is why this condition is also referred to as the ‘rocker bottom’
  • Pain is generally not felt
  • Foot may be stiff
  • Abnormal gait
  • Callouses may develop if the child starts walking with this condition

Diagnosis

  • Congenital Vertical Talus may be diagnosed before birth if an ultrasound is performed
  • Detailed clinical examination of the foot to check for the symptoms of deformity and degree of bone deformity
  • X-ray imaging to assess the bone structure
  • Some lab tests may be recommended
  • MRI or CT scan to asses the condition of the surrounding soft tissue structures

Treatment

  • Casting the affected foot in a brace may help correct the deformity in early stages of life
  • Regular stretching and gentle exercises prescribed by a physical therapist may be helpful to restore the correct anatomical shape of the foot and improving its flexibility
  • Surgery may be recommended after the child attains 10-12 months of age, if the conservative treatment fails to give results. It may be done to realign the bones and fasten them using pins and screws
  • The ligaments and tendons may be lengthened surgically to facilitate the movement of the ankle joint
  • The foot may be immobilized in a cast for a couple of weeks post  surgery to aid recovery
  • The child is advised to get regular checks done to monitor his/her growth post treatment
  • Special walking boot may be used to improve the condition and prevent reoccurrence


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Slipped Capital Femoral Epiphysis: Causes, Symptoms And Treatment

by Administrator 19. February 2017 12:17

Slipped Capital Femoral Epiphysis or SCFE is a hip condition that mostly occurs in teenagers.  The hip is a ball and socket joint in which the head of the thigh bone fits into the socket of the large pelvic bone called acetabulum. The thigh bone grows along two growth plates (physis) that are found at each end of the femur. The growth head located at the upper end of the femur solidifies to become the femoral head and is also referred to as the epiphysis. In case of SCFE, this epiphysis gets displaced as the head of the thigh bone slips backwards. The condition may take some time to develop and is more prevalent in teenage boys. Timely diagnosis and appropriate treatment is necessary to prevent future complications like Hip Arthritis.

SCFE can be classified as follows:

  • Stable SCFE - The joint feels slightly unstable and the patient may be able to move around with some help
  • Unstable SCFE - The patient is unable to bear body weight even if walking aids such as a walker or crutches are used. This condition may also become a potential cause of Avascular Necrosis in the hip bone.

Causes

  • A sudden fall
  • Major trauma caused to the hip or pelvis joint
  • Hereditary factors
  • Being obese or over weight
  • Metabolic disorders such as hyperthyroidism
  • In some cases, a person may develop SCFE over a period of time even with no previous record of physical injury

Symptoms

  • Pain may be felt in the hip, groin, knee or thigh post injury
  • Stiffness
  • Unstable joint
  • Inability to bear body weight
  • In most cases, only one side of the hip joint is affected. However, in patients below the age of 10 years, the chances of both sides being affected are higher
  • The affected leg may appear shorter and turned outwards compared to the normal one
  • Change in gait
  • Physical activity may exaggerate the symptoms

Diagnosis

  • Medical history, family traits and symptoms may be taken into account
  • Detailed clinical evaluation may be required to check range of motion in the affected leg
  • The patient’s gait may be observed
  • X-ray imaging may be conducted to analyze bone structure and locate the femoral head

Treatment

The femoral head or epiphysis is stabilized through a surgical procedure in all cases. It may be carried out as follows:

  • In case of stable SCFE, in situ fixation is carried out by fixing the femoral head using a metal screw. As the growth plate grows and the screw gets fused within it
  • In case of unstable SCFE, a large incision is made in the hip joint and the displaced bone head is brought back to the correct anatomical position. It is held in place using two screws which eventually fuse within the joint
  • In cases where in the patient is likely to develop SCFE in the opposite hip as well, in situ fixation may be preformed to eliminate the risk
  • Physical therapy may be recommended post surgery
  • The patient may be advised to use crutches for a few weeks to allow the joint to heal
  • Regular follow ups and some repeat X-rays may be required to monitor the joint condition for 1-2 years after surgery

Visit the joint doctors at OrthoTexas for complete treatment of Slipped Capital Femoral Epiphysis and other disorders of the hip. To schedule an appointment with the orthopedic surgeons in Denton, TX, call at (940) 382-1577.

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Wrist Dislocation: Orthopedic Frisco

by Administrator 15. February 2017 10:38

The wrist joint connects the two bones of the forearm (ulnar and radius) to the smaller bones of the hand. There are eight carpal bones in the hand which are held together and connected to the other bones by ligaments. The eight carpal bones that form the wrist joint are named as the Capitate, Trapezoid, Hamate, Pisiform, Trapezium, Lunate, Scaphoid and Triquetrum. Displacement of any of these bones may result in Wrist Dislocation. The condition may also be accompanied by ligament and nerve damage.

Causes

  • Fall on an outstretched hand
  • Sports injuries
  • Vehicular accidents
  • Physical combat
  • Direct hit on the wrist with a ball while playing or any other object may cause dislocations and fractures
  • Past injuries or hand fractures make the wrist prone to dislocations
  • Workplace accidents

Symptoms

  • Severe pain
  • Visibly deformed wrist joint
  • Swelling and stiffness
  • The joint may feel tender when touched
  • In case of nerve damage, a tingling sensation in the thumb or the fingers may occur
  • Bruising
  • Range of motion may be affected

Diagnosis

  • Detailed observation of the injured hand by an orthopedic doctor
  • Palpation may be used to check for exact point of dislocations and swelling
  • The mode and time of injury may be taken into consideration besides the symptoms, past medical records and injuries, if any
  • X-ray imaging may be required to assess the damage to the bone structure
  • MRI scan may be required in some cases for a better view and if damage to nerve or ligaments is suspected
  • Neurovascular examination of the joint may be done

Treatment

  • Application of ice packs may help to reduce swelling
  • Pain killers may be prescribed
  • Use of a soft bandage for compression and support may be helpful
  • Splinting the wrist and fingers
  • The injured hand should be rested on an elevated surface
  • Simple bracing and cast may be used to reduce the dislocated bones and restore functionality of the joint in case of minor injuries
  • Surgical reduction (putting the displaced bone back in place) may be carried out and the process may involve use of pins, wires and screws to hold the bone in place
  • The hand may be secured using a cast for a few weeks
  • The surgical procedure may be followed by a physical therapy plan to promote strength, stability and restore range of motion
  • Some changes at the work place may be suggested by an occupational therapist for recovery and prevention of future damage to the joint

For comprehensive treatment of Wrist Dislocation, consult OrthoTexas, leading groups of orthopedic doctors and physicians serving Frisco, TX. To request an appointment, call at (214) 618 – 5502.

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Orthopedic Treatment For Twisted Neck

by Administrator 13. February 2017 07:45

Twisting of the neck to one side is medically referred to as Torticollis or wry neck. It is a common condition that occurs when the muscles that hold the neck and aid in its movement are affected. The symptoms may ease out naturally over a few days while it may require longer duration and medical treatment in severe cases.  Twisted Neck is a commonly reported cause of pain in young people, although it may affect anybody irrespective of age or gender. The person may not necessarily have a past history of neck injury or pain.

Causes

  • Acute Torticollis – It occurs when a ligament or muscle in the neck or shoulder is irritated or sprained
  • Carrying heavy bags or load on the shoulder or in one hand
  • Working long on the computer without maintaining a correct posture or eye view
  • Exposure of the neck muscles to the cold
  • Ear infection
  • Not having adequate support under the head and neck while sleeping
  • Cervical Dystonia- muscle spasms in the neck that occur in people above the age of 40 years. It leads to abnormal head and neck movements including Torticollis
  • Sometimes upper throat infections can affect the lymph nodes that may lead to stiff neck and muscle spasms
  • Cervical or head injury
  • Damage to the blood vessels that flow through the neck
  • Could be a side effect of some medications
  • Congenital Defects- the head of the fetus may be wrongly positioned in the womb causing wry neck

Symptoms

  • Pain on one side of the neck
  • Stiffness in the neck
  • Difficulty in turning the neck to the other side
  • Inability to keep the neck straight
  • The muscles on the affected side feel tender or swollen when touched
  • The pain may radiate into the shoulders and upper back
  • Tingling sensation in the neck
  • The head and the chin may tilt in opposite directions
  • Muscle spasms

Diagnosis

  • Analysis of the symptoms and detailed examination of the neck
  • X-ray and other tests may be suggested in case the doctor suspects a serious underlying cause for the existing condition
  • EMG (electromyogram) test may be conducted to locate the affected muscles

Treatment

The symptoms of a twisted neck tend to improve naturally within 24-48 hours. In case they persist longer, the following treatment options may be employed.

  • Some gentle neck exercises may promote movement and flexibility. These may reduce the stiffness
  • Anti-inflammatory medicines and muscle relaxants may be prescribed
  • If the pain is severe in the initial phase, resting the neck for a day or two may be required.
  • Driving should be avoided
  • Some patients may find relief by use of heat pads
  • Gentle traction may be applied
  • Maintain a good posture at work and while standing, sitting or walking
  • Use a firm pillow while sleeping
  • In case of Cervical Dystonia, some medicines may be injected into the neck to paralyze the muscles and stop pain/ spasms
  • Surgery may be recommended if the condition becomes chronic. The procedure aims at lengthening muscles, cutting nerves (to interrupt signals) and fusing some vertebrae in the neck.

The spine specialists at OrthoTexas offer comprehensive treatment for twisted neck and other conditions of the cervical spine. For appointment with orthopedic doctors in Plano, TX, call at (972) 985-1072.

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PCL Injury: Orthopedic Treatment In Carrollton

by Administrator 9. February 2017 13:04

Posterior cruciate ligament (PCL) is a tough tissue structure with a high tensile strength that essentially controls the positioning of the tibia and the femur. Besides connecting the bones, it stabilizes the knee joint while it rotates in different directions. Any tear or stress in this ligament is termed as PCL injury.

It is not common condition and generally occurs in combination with other ligament injuries and cartilage damages. PCL injury can vary in degree from a mild stretch to complete tear of the ligament, with a piece of the bone being dethatched along with the tissue structure. Sports person who indulge in football, soccer, skiing etc. are at a higher risk of ligament injuries.

Causes

  • Falling on a flexed knee
  • Direct injury or trauma to the shin bone (tibia)
  • Vehicular accidents in which the legs are crushed against the dashboard

Symptoms

  • Mild or sharp knee pain, depending on the grade of injury
  • Swelling and tenderness in the joint
  • Unstable knee joint
  • Inability to walk, stand or bear body weight

Diagnosis

  • The knee specialist may inquire about mode of injury, symptoms as well as the medical history
  • A device called arthrometer may be used to check ligament strength or tightness
  • The patient may be asked to lie on his back while bending the knees. The upper portion of the shin bone is examined through palpation which helps to confirm PCL injury
  • Analysis of the gait
  • X-ray imaging to check for bone damage, if any
  • MRI or CT scan to locate the exact point of tear/stress to the ligament
  • Bone scan may be required in case of chronic PCL injuries. Both the legs are compared to reach a diagnosis
  • The doctor may check for fluid retention or internal bleeding within the joint that may cause pressure to build up
  • Arthroscopy may be used to get a better view of the joint

Treatment

  • Rest the injured knee and avoid any weight bearing or activity that may cause stress
  • Use of ice packs may reduce pain and swelling
  • Slight compression may be applied
  • Keep the leg elevated at chest level while resting
  • Anti-inflammatory medicines may be prescribed for immediate relief
  • Physical therapy may be helpful in stabilizing the joint, aiding in recovery and strengthening
  •  A crutch or a knee brace may be used for supporting the affected joint
  • Surgery may be recommended in high grade injuries which do not respond to conservative methods. If a piece of bone is detached along with the ligament, it may be surgically fastened using pins and screws
  • Torn PCL ligament is surgically replaced by a part of tissue extracted from a donor or by using tissues from the patient’s body (thigh or heel)
  • Minor tissue injuries can be corrected using an arthroscope which enables correction through minor incisions

For diagnosis and treatment of PCL injury, visit the knee specialists at OrthoTexas. To request an appointment, you can call at (972) 492-1334.

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Bowed Legs: Causes, Symptoms And Treatment

by Administrator 6. February 2017 04:09

Bowed Legs, or Genu Varum, is a structural deformity of the lower limbs in which the knees are pulled apart while the feet are joined together.  It is commonly observed in toddlers and is evident due to the large spacing between the legs as well as knees. The condition may affect either one or both the legs and usually subsides on its own by the age of 3-4 years.

Causes

  • Congenital defects- Folding of the legs in the mother’s womb may lead to bow leg formation in babies
  • Rickets- A bone disease that occurs due to deficiency of Vitamin D or Calcium and phosphorus
  • Blount’s Disease- Abnormality of the growth plate in tibia
  • Fractures of the leg that have not healed properly

Symptoms

  • Visibly deformed legs that may tend to curve outwards
  • Abnormal gait
  • Symptoms are more apparent  when the child walks or stands
  • Intoeing or inward turning of the feet while walking
  • Tendency to trip while walking
  • If the condition persists in adolescence, it may out stress on the hips, knee, ankle and pelvis

Diagnosis

  • Detailed physical examination of the child, birth history and medical condition, if any
  • The doctor may check if the bowing is symmetrical (occurs in both legs equally) or asymmetrical (one leg bends more than the other). This is done by measuring the distance between the knees while making the child lie on the stomach
  • X-ray imaging may be required to assess the bone structure and underlying cause
  • Blood tests may be done to check for conditions like Rickets

Treatment

  • Regular clinical assessments every few months may be recommended to keep a check on the progress of the condition
  • Bracing of the legs may be helpful if Blount’s Disease is diagnosed during early childhood
  • Specific medication may be prescribed to control effects of Rickets

Surgical intervention may be needed in case the condition worsens and does not subside with conservative treatment. This may include:

  • Tibial Osteotomy- Realigning or reshaping the shin bone and holding it in correct anatomical position using pins, plates, screws etc.
  • Guided Growth- Surgical procedure to stop the growth of the healthy side of the shin bone to facilitate recovery on the damaged side of the leg
  • Physical therapy may be helpful post-surgery to regain strength and stability of the leg
  • The child may be advised to use walker or crutches for some time to avoid weight bearing

For treatment of Bowed Legs and other orthopedic conditions, visit OrthoTexas. To schedule an appointment with the orthopedic surgeons in McKinney, TX, you can call at (972) 727 – 9995.

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