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Articles Posted in Surgery

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Pediatric Orthopedic Surgery

In general, the younger the orthopedic patient, the greater is the chance for remodeling of bone.  A fracture in a young person doesn’t have to be as tightly realigned because remodeling will take hold and the bone will heal properly.

The leading cause of death in the 1-14 year age group is an accidental injury.  About 10-15 percent of all childhood injuries will involve bony injury.  A large majority of these injuries will involve a finger or a toe.  There has been an increase in bony injuries among children in the last 50 years—mostly because of a greater participation in sporting activities.  The incidence of fracture is highest among boys with 42 percent of boys up until the age of 16 suffering from a fracture, compared to only 27 percent of girls in the same age range.  Most boys will get their fracture at about sixteen years of age, while the peak age for fractures in girls being 12 years of age.  Fortunately, it is rare for a young person to sustain an open fracture of any kind.

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Severe injury to the neck may require a surgical intervention called cervical spinal fusion.  This surgery joins damaged vertebrae in the cervical spine.  How this surgery is accomplished depends on your particular injury and the surgeon.  The cervical spinal fusion may entail one or a more of the following scenarios:

  • Removal of a an entire cervical vertebrae and then fusing the spine
  • Removal of a singular disc with fusion to the adjoining vertebrae

Traumatic Carpal Tunnel Syndrome

Traumatic Carpal Tunnel Syndrome

Many people are familiar with carpal tunnel syndrome (CTS) as a condition caused by repetitive stress injuries such as working with vibrating tools, heavy manual labor, and even less impactful but repeated movements such as typing. Within these categories, carpal tunnel syndrome is often a workplace injury. What is less well known, however, is traumatic carpal tunnel syndrome that can be triggered by a single injury to the hand or wrist from an event such as a motor vehicle collision, a sports injury, or a slip-and-fall injury.

Symptoms of Carpal Tunnel Syndrome

When a person has spinal pain, plain film x-rays can be done that will show the outline of the bone and will detect the presence of bone spurs in facet joint disease. Discs, however, are made of soft tissue and are not detected on plain films. Plain films can, however, show narrowing of the disc space as is seen in degeneration of the discs.

A CT scan or MRI scan of the body can show a great many more things than a plain x-ray. These can show disc material impinging upon the spinal cord or on the spinal nerves. They can also show the presence of bone spurs at the level of the facet joints.

A CT myelogram can show fine detail by injecting a dye into the intrathecal space around the spinal cord. Areas of defect are revealed as places where the disc has herniated into the spinal canal or near the spinal nerves.

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