Navigation Links
Clinical news alert: Journal of the American Academy of Orthopaedic Surgeons May highlights
Date:5/15/2012

Treatments for Idiopathic Toe Walking Based on Child's Age and Severity of Gait Abnormality

Most children develop a normal walking pattern, or gait, by age 2. And while some toe walkingwhere a child primarily walks on the front of the foot or toes, never touching the heel to the groundis common, persistent toe walking beyond age 2 may indicate a neurological disorder.

A review article, "Idiopathic Toe Walking," outlines the appropriate steps for effectively diagnosing and treating pediatric toe walking when the cause of the disorder is unknown. A comprehensive physical examination should focus on the child's lower extremities and his or her gait pattern to rule out any neurodevelopmental disorders, and take into consideration the child's medical history including the details of gestation, birth, early development and other medical events. Electromyopathy (measuring the conducting function of muscles and nerves) and gait kinematics (study of human motion) can further identify abnormalities. Treatment is based on physical examination results and the age of the child. For patients under age 2, initial treatment may simply be observation as many children eventually develop a normal heel-toe gait on their own.

Non-surgical treatments often are recommended for younger children in whom the muscles have not become overly tight and may include physical therapy to stretch the posterior calf muscle, braces and night splints to stretch the heel cord and stabilize ankle movement, or a walking cast below the knee. If nonsurgical treatments are unsuccessful, surgical lengthening of the calf muscle may be recommended. All treatment decisions should have the full support of and input from the child's parents.

Strategies for Treating Patients with Continued Pain, Limited Function Following Rotator Cuff Surgery

Most patients (more than 90 percent) with rotator cuff tears experience successful outcomes following surgery, including decreased pain, increased active range of motion (ROM), and improved shoulder strength function following surgery.

A review article, "Management of Failed Arthroscopic Rotator Cuff Repair," outlines potential treatment and pain management options for the estimated small percentage of patients who continue to experience pain, weakness and limited mobility following surgery. For these patients, the study recommends a thorough physical examination to rule out any other causes for the pain, weakness and/or limited mobility, such as cervical spine disease or a subsequent, secondary trauma to the shoulder. Standard radiographs of the shoulder also should be obtained. Occasionally, advanced imaging, such as an MRI or an Ultrasound, may be warranted.

In some cases, treatment options may include repair, partial repair, partial repair with biologic or synthetic substances, or a tendon transfer. Candidates for revision surgery and repair are typically younger than age 65, without signs of arthritis, pseudoparalysis (voluntary paralysis), tendon retraction, or muscle atrophy. Tendon transfers, where the muscles and tendons of the shoulder are moved for rotator cuff deficiency, are a salvage option for younger patients, often with good results.

Read about "A Nation in Motion" and what Mary Bennett, Patricia McConaghy, Terry Dewald, and others can now do since their rotator cuff surgeries. Patient interview opportunities are available.


'/>"/>

Contact: Kayee Ip
ip@aaos.org
847-384-4035
American Academy of Orthopaedic Surgeons
Source:Eurekalert

Related medicine news :

1. Stethoscope App gives iPhone New Clinical Skills
2. Sunquest Introduces Integrated Clinical Environment Physician Portal Solution in US
3. Almac Launches New STEMS System to Transform Temperature Controlled Shipment Monitoring in Clinical Trials
4. Clinical trial underway: Miniature ultrasound device could revolutionize pain relief
5. Michael J. Fox Foundation Awards $1.1 Million For Clinical Trial of Transdermal Nicotine as Disease-Modifying Treatment For Parkinsons
6. NOVAVAX Presents Positive Clinical Results at The World Health Organization Conference, Geneva, Switzerland
7. UCLA Health System Presents: How to Successfully Implement a Clinical Portal
8. TeraMedica Launches Evercore – Clinical Enterprise Suite 5.0 Now on Linux
9. Mesothelioma Clinical Trials List Offered by IQ Mesothelioma: Search Current Mesothelioma Treatment Options
10. MedQuist Launches EHR Integration for Dictations Associated with Template-based Clinical Documentation
11. Greenway Medical Technologies Donates Electronic Health Record, Clinical Research and Revenue Cycle Solutions to Northern Kentucky University
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... ... February 12, 2016 , ... A lot has been reported about the fitness ... access to health and wellness resources most Americans could ever dream of having at ... a schedule as frenetic as the U.S. President. , In honor of President’s ...
(Date:2/12/2016)... ... ... The Central Coast Autism Spectrum Center (CCASC) invites teens ages 11-18 to its annual Winter ... teens with and without special needs to gather in a safe and supportive environment. Volunteers ... will take place on Saturday, Feb. 13 from 7 to 9:30 p.m. at Elks Lodge, ...
(Date:2/12/2016)... , ... February 12, 2016 , ... Yisrayl Hawkins, Pastor ... article this week that uncovers what he says are the real facts surrounding all ... the Bible from parents and Sunday school teachers, and Yisrayl says there is more ...
(Date:2/12/2016)... ... February 12, 2016 , ... Planet Future ... new cartoon style themes are great for showcasing pictures, videos as well as text ... titles like introductions, lower thirds, transitions and a beautiful frame overlay. Pixel Film Studios ...
(Date:2/12/2016)... ... ... Dignity Health named Dr. Scott Bingham the Facility Medical Director of the ... licensed under Dignity Health Arizona General Hospital , which opened last year in ... our new freestanding emergency room delivers the highest quality care to Mesa and the ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... SAN FRANCISCO , Feb. 11, 2016  Kindred ... focused on saving and improving the lives of pets, ... Technical Section of the New Animal Drug Application (NADA) ... the pivotal field study (KB0120) of Zimeta for the ... by the Company. --> ...
(Date:2/11/2016)... N.Y. , Feb. 11, 2016  Governor Andrew ... that will create 1,400 jobs throughout Western ... a partnership with the SUNY Polytechnic Institute, includes a ... Conventus Building in Buffalo , as ... foot manufacturing facility in Dunkirk . ...
(Date:2/11/2016)... 11, 2016 Potrero Medical, Inc., the developer of ... the appointment of George M. Rapier, III , MD, ... TX , WellMed is one of the nation,s largest ... HMO members in Texas and ... of his own internal medicine practice, he has been instrumental ...
Breaking Medicine Technology: