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.
- 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
- 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
- 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
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.
12. February 2016 05:53
Cervical fracture refers to the breakage of any one or more of the seven vertebrae in the upper back. These vertebrae connect the neck, head and back to the rest of the body as well as play a major role in maintaining balance. It is also referred to as the broken neck. Cervical fracture is a serious injury and may lead to paralysis, death as well as loss of movement or sensation in any part of the body.
- An automobile accident
- Sudden fall
- Direct blow or trauma to the head or neck
- Sports injury that involves a violent attack or combat
- Twisting of the neck
- Diving in a shallow pool
- Loss of consciousness
- Pain that may spread from the neck to the upper body and arms
- Deformity, bruising and swelling
- Feeling of numbness in the arms, legs, body
- Partial or complete paralysis
- Visibility of lumps on the head or back
- Breathing may be hampered in some cases
- Muscle spasms
- Difficulty swallowing
- Pins and needles sensation
- Neurological examination
- CT scan, X-rays, MRI may be conducted to assess the location and severity of damage
- Assessment of the functionality of the cervical spine by the orthopedic doctor
- Evaluation of the details of injury, medical record and symptoms experienced by the patient
- Use of a cervical brace or collar for a few weeks may be prescribed in case the fracture is minor
- Traction- use of heavy weights attached to a brace may be used to limits the movement of the spine. It may be prescribed for 8-12 weeks depending on the severity of the injury Surgical decompression to remove the broken fragments of tissues and bones from the spinal column
- Surgical removal of the damaged intervertebral discs
- Surgical fusion of a bone graft next to the broken vertebrae
- Anti-inflammatory drugs may be administered to curb pain and inflammation
- Physical therapy may be required to restore mobility and muscle strength in the cervical spine
For treatment of cervical fracture and other spine conditions, visit OrthoTexas. To schedule an appointment with the orthopedic surgeons in Carrollton, TX, you can call at (972) 492 – 1334 or visit 4780 North Josey Lane, Carrollton, TX 75010.
14. December 2015 10:38
Piriformis Syndrome refers to a neuromuscular disorder that affects the Piriformis muscle located in the buttock. This muscle begins at the lower spine and connects it to the femur (thigh bone) with the sciatic nerve running beneath it. The Piriformis muscle enables the rotation of the hip and forward leg movement. The syndrome is a result of stress or irritation caused to the muscle which, in turn, compresses the underlying sciatic nerve. It may lead to pain, spasm or numbness in the buttock radiating downwards to the thigh, lower leg and calf muscles. It is a complex medical condition that needs to be diagnosed and treated at the earliest as it may lead to a host of other pathological problems.
- Mild to severe pain in the buttock, leg or thigh
- Numbness or tingling sensation
- Discomfort while moving the hip joint
- Tenderness in the buttock muscle
- Pain tends to increase while walking up an incline, climbing stairs or sitting for a long duration
- Discomfort while sitting on the affected buttock
- Pain or discomfort during bowel movement
- Pain generally diminishes once the patient lies on his/her back
- Numbness in feet or difficulty in walking
- Women may experience Dyspareunia
- Some patients may experience pain in neck or head
- Sitting for long hours may tighten the Piriformis muscle
- Sportspersons who indulge in running, rowing or cycling tend to bend forward most of the time leading to weakening of buttock muscles
- Overuse of the hip joint or muscle that leads to stress or spasms
- Trauma to the gluteal region or the buttock
Piriformis Syndrome is a complex condition that requires various tests and methods of examination for accurate diagnosis. These may include:
- Review of the patient’s medical history to rule out other causes of pain
- Physical examination of the leg and hip by the doctor
- X-ray, MRI, CT scan and few other nerve conduction tests
- Reflex, strength and sensory testing of the deep tendon
- Assessment of disparities in length of legs
- Tenderness in the gluteal region
- The orthopedic doctor may recommend heat therapy to reduce stress and encourage flow of blood to the affected muscles
- Specific stretching exercises may also help to strengthen the Piriformis muscle, hamstrings, hip flexors and abductor muscles
- Anti-inflammatory drugs and muscle relaxants may be prescribed
- The doctor my ask to avoid activities that lead to stress or pain
- Rest for a prescribed period of two to three weeks
- Surgical intervention may be required in cases where conservative therapies fail to provide relief.
OrthoTexas provides comprehensive diagnosis and treatment for Piriformis Syndrome. To schedule an appointment with our orthopedic surgeons in Carrollton, TX, you can call at (972) 492 – 1334.
26. May 2014 07:36
The hip joint is one of the most important joints of the human body, contributing significantly to balance, stability, strength and range of motion. Problems related to the hip joint can cause extreme Hip Pain which is a serious condition that can affect your life negatively in a major way. There are many common conditions which can cause Hip Pain, including age related ailments, bursitis, tendon damage, and damage from impacts and injuries. Hip Pains can also result from bad posture, alignment problems of the spine, and as a side effect of other ailments and obesity.
To keep yourself free from Hip Pain, there are a number of preventive measures that you can employ in your daily life to keep yourself safe from this debilitating condition. The following tips are advised by orthopedic surgeons and can be of great help –
- Incorporate an exercise routine into your life which gives adequate attention to all the important joints and areas of your body. Light exercise of the joints keeps them healthy and moving fluidly and minimizes the chance of the development of conditions which can give rise to Hip Pain.
- Before you exercise make sure you are always properly warmed up. Try not to start a routine without proper warm-up measures first. Also, if you incorporate stretching in your routine, make sure you do that during the later phases of the routine when your muscles are nimble.
- If you are obese or have a tendency towards obesity, make sure that you take the necessary measures to stay in shape and maintain an optimal weight proportionate to your height. This can go a long way in preventing the occurrence of Hip Pain.
- Be wise in your choice of footwear. You must always wear shoes that provide you with proper cushioning and support. Heavy use of high heels can be a major reason for the development of Hip Pain.
- Make sure that you do not favor one side of your body during day to day activities unless you have a weaker leg. This can create an imbalance and stress out the favored side. Try keeping your hips level while carrying out day to day activities like working out in the yard, walking or climbing stairs.
- If you have sustained an injury which causes Hip Pain, make sure that you sleep on your uninjured side with adequate leg support.
- When in pain, take advantage of techniques used to deal with sports injuries like physical therapy, stretching, the use of ice packs etc. but after proper diagnosis of the injury by an orthopedic doctor.