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Children and Orthopaedic Surgical Emergencies
Date:2/25/2009

52). This hip condition is usually seen in a pre-teen or teenage patient. The ball of the hip (the epiphysis) gradually slips out of position through the soft growth plate cartilage. This condition produces pain in the hip, the knee, or the groin, and results in a limp. If the growth plate fractures, due to a slip or fall, the hip becomes extremely painful and the patient is unable to walk.

"This is the most frequently seen hip problem in children and adolescents that requires surgery," cites Dr. Herman. "If a child complains of hip, knee or groin pain and has a limp there is a chance they could have the earliest version of the disorder." If caught early, before the hip fractures, it is much easier to treat and there are fewer complications."

Fractures of the elbow are also common in children. "We see these injuries after a child falls off monkey bars or a bike," said Dr. Herman. "One of the tips for parents is that immediate swelling or deformity is almost always associated with a fracture. When you believe your child may have any type of serious injury or fracture of the arm or leg, it is important to get them to a hospital quickly," noted Dr. Herman.

Note: This topic will be the focus of a Media Briefing entitled: "The Top 10 Pediatric Surgical Emergencies" on Wednesday, February 25 in the Sands Expo Center, Venetian Hotel, Level One, Room 904 at 11:30am. Panelists include: Moderator: Martin Herman, MD, James McCarthy, MD, and Peter Pizzutillo, MD.

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SOURCE American Academy of Orthopaedic Surgeons
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