Category Orthopedic

Horse Related Injuries in Children

Horse Related Injuries in Children

After last week’s Morsel, many of you may have felt that I was unjust in my singling out dogs and cats as potential causes of trauma in our children. While they certainly are the most prevalent inflicters of pain and…

Pediatric Traumatic Hip Dislocation

Pediatric Traumatic Hip Dislocation

Pediatric hip pathology is a common consideration. From SCFE to Legg Calve Perthes Disease and from Septic Arthritis to Osteomyelitis, there are many conditions that may present with hip pain. Of course, trauma is the most common cause of morbidity and…

Metatarsal Fractures in Children

Metatarsal Fractures and Jones Fractures in Children

Children are incredibly resilient and their tissues are very pliable and plastic. With that being said, their immature skeleton can often bring additional considerations into play when evaluating kids for possible fractures (ex, Toddler’s Fracture, Nasal Fractures, Pelvic Avulsion Fractures).…

Kohler’s Disease: Avascular Necrosis of the Navicular Bone

Kohler's Disease: Avascular Necrosis of the Navicular Bone

The “limping child” is commonly encountered in the ED, and while we may consider the common entities like Osgood Schlatter’s Disease, the potential issues that lead to a child limping are vast. Certainly we concern ourselves with weighing Toxic Synovitis…

Rickets Presentations in the ED

Vitamin D Deficiency Rickets

In the Emergency Department, we are constantly juggling large lists of differential diagnoses. We become facile at sorting through the vast Ddx for seizures (ex, simple febrile seizures, complex seizures, neonatal seizures, eclampsia, seizure mimics) and syncope (ex, hair grooming…

Benign Acute Childhood Myositis

Previously, we have discussed the potential counterproductive effects of saying the phrase “It’s just a virus.” Aside from the perception that their child’s illness is “no big deal,” this phrase is also inaccurate as it implies that viral illness is…

Pediatric Chance Fracture

Pediatric Chance Fractures

We have discussed the potential hazards of being a child on numerous occasions (ex, Injury Prevention, Trampolines, Lawn Mowers, Submersions, Electricity, Firearms), but nothing leads to more injuries than motor vehicles (sometimes, even when they are standing still – Vehicle…