Amr Abdelgawad Osama Naga Editors Pediatric Orthopedics A Handbook for Primary Care Physicians 123 Pediatric Orthopedics Pediatric Orthopedics A Handbook for Primary Care Physicians Amr Abdelgawad Paul L. Foster School of Medicine, Texas Tech University, Health Sciences Center El Paso, TX, USA Osama Naga Children’s Pediatric Practice El Paso, TX, USA 123 Editors AmrAbdelgawad, MD Osama Naga,MD,FAAP PaulL. FosterSchool of Children’s PediatricPractice Medicine ElPaso, TX Health SciencesCenter USA Texas TechUniversity Health SciencesCenter ElPaso, TX USA ISBN 978-1-4614-7125-7 ISBN978-1-4614-7126-4 (eBook) DOI10.1007/978-1-4614-7126-4 SpringerNewYorkHeidelbergDordrechtLondon LibraryofCongressControlNumber:2013944520 (cid:2)SpringerScience+BusinessMediaNewYork2014 This work is subject to copyright. 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Osama Naga Preface ‘‘Pediatric Orthopedics: A Handbook for Primary Care Physicians’’ is designedtobeaquickandpracticalresourceforpediatricians,family medicine physicians, residents, nurse practitioners, physician assis- tants, and medical students caring for pediatric population with musculoskeletaldisordersintheirbusydailypractice.Thisbookisa concise, clinically oriented and readily available resource to study common pediatric musculoskeletal diseases. Great emphasis was given to the natural history of the diseases and indications for referring the child to an orthopedic surgeon. The details of surgical treatment and procedures were not included as this will not be of majorbenefits toourreaders. This book has a very interesting and easy to follow format. We tried to stay away from long paragraphs and controversial state- ments. The book is printed in ‘‘pocket’’ size and is easy to carry around.Theinformationinthebookispresentedinasimple‘‘bullet’’ formatthatallowsthereadertounderstandthetopiceasilyandwith minimal effort. More than 300 figures were included in this handbook. At the end of each chapter, we added ‘‘high yield facts’’ that sum- marize the important topics. In addition, a table of common ortho- pedicscenariosthatthehealthcareprovidersmayencounterintheir daily work is included, to guide them through the next steps in managing children withparticular orthopedic presentations. vii viii PREFACE We are confident that this handbook will assist health care pro- viders with a structured approach to the management of pediatric musculoskeletal conditions, and that they will find it a valuable tool intheir daily practice. Amr Abdelgawad, MD Osama Naga,MD Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix 1 Introduction to Orthopedic Nomenclature. . . . . 1 Amr Abdelgawad and Osama Naga 2 Growth and Development and Their Relation to Musculoskeletal Conditions . . . . . . . . . . . . . . 15 Ahmed M. Thabet 3 Metabolic Conditions. . . . . . . . . . . . . . . . . . . . . . 27 Amr Abdelgawad and Osama Naga 4 General Conditions Affecting the Bones. . . . . . . 51 Amr Abdelgawad and Osama Naga 5 Birth Injuries and Orthopedic Manifestations in Newborns. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Amr Abdelgawad and Osama Naga 6 The Hip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 Amr Abdelgawad and Osama Naga 7 The Knee/Leg. . . . . . . . . . . . . . . . . . . . . . . . . . . . 117 Amr Abdelgawad and Osama Naga ix x CONTENTS 8 Foot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 Amr Abdelgawad and Osama Naga 9 Hand and Upper Extremity . . . . . . . . . . . . . . . . . 199 Miguel Pirela-Cruz 10 Sport Injury: Lower Extremity . . . . . . . . . . . . . . 237 Amr Abdelgawad and Courtney Holland 11 Sports Injuries: Upper Extremity . . . . . . . . . . . . 269 Justin M. Wright and Angel Garcia 12 Management of Pediatric Orthopedic Patients During the Postoperative Period. . . . . . . . . . . . . 331 Indu Pathak and Michael Lee 13 Tumors and Tumor-Like Conditions. . . . . . . . . . 345 Ayman Bassiony 14 Spasticity and Gait . . . . . . . . . . . . . . . . . . . . . . . 375 Mahmoud A. Mahran and Walid Abdel Ghany 15 Non Accidental Trauma. . . . . . . . . . . . . . . . . . . . 399 Amr Abdelgawad and Osama Naga 16 Orthopedic Trauma. . . . . . . . . . . . . . . . . . . . . . . 409 Amr Abdelgawad and Enes Kanlic 17 Approach to a Limping Child . . . . . . . . . . . . . . . 485 Amr Abdelgawad and Osama Naga 18 Casts, Splints, and Braces. . . . . . . . . . . . . . . . . . 493 Amr Abdelgawad and Osama Naga 19 Pediatric Spine . . . . . . . . . . . . . . . . . . . . . . . . . . 503 Amr Abdelgawad and Osama Naga CONTENTS xi 20 Neuromuscular Conditions . . . . . . . . . . . . . . . . . 545 Amr Abdelgawad and Osama Naga 21 Musculoskeletal Infections . . . . . . . . . . . . . . . . . 561 Amr Abdelgawad and Osama Naga Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 585
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