Orthopaedics is Orthopaedics; broken down, Ortho means correction and paedios means children, indicating that the development of orthopaedics in the past came from the correction of deformities in children, such as scoliosis, pronation and other problems. However, with the development of technology, many degenerative arthritis, fractures, sports injuries, spinal surgery, artificial joints, etc., seem to have become the mainstream of modern orthopedics when orthopedics was introduced to China from the West decades ago, and the real pediatric orthopedic problems were neglected; only in the past seven or eight years has the attention gradually been brought back to children.
The problems of pediatric orthopedics can be divided into twelve categories according to their nature, but many of them overlap with pediatrics, and some of them are not very common; therefore, it is worthwhile for us as parents to be concerned about the problems that are closer to our general life and more common; understanding these problems will not only help us in our medical and nursing work, but also help us as parents. Below, we will provide you with the following information in order of age.
I. Newborn period
1. Please pay attention to congenital limb anomalies, including congenital limb defects, polydactyly, syndactyly, oblique neck, corpus cavernosum, funnel chest, etc.
2.Please be careful of injuries caused by poor delivery, such as clavicle fracture, brachial plexus nerve injury, cerebral palsy, etc.
3. Please distinguish the difference between postural deformation and real skeletal abnormalities caused by fetal position. If you are sure to have an inversion of the foot.
4.Please do a special hip screening to detect congenital (developmental) hip dysplasia and dislocation, which are easily overlooked.
Toddler period
1.Posture deformation caused by fetal position is most contraindicated to learn to walk early.
2, toddler car and crab car on the skeletal muscle control system is not beneficial.
3, O-leg and outward facing is very common in this stage.
Three, preschool age
1.After three years old, we should be careful to distinguish whether there is a growth plate disease in O-shaped legs.
2.Kneeling and sitting have a considerable impact on the joints of the lower limbs.
3.The proportion of X-shaped legs is more than 50% at the age of 2-4, but 95% will heal naturally.
4.Flat feet are closely related to individual ligament relaxation, muscle tension and X-shaped legs.
IV. Primary school career
1. Paroxysmal squinting neck may be related to upper respiratory tract infection.
2.Growing pains and sports injuries or fatigue, which are common in this age group.
3.Hip pain should pay special attention to ischemic necrosis of the femoral head in children.
4. Limb fractures or dislocations are particularly likely to occur in this active age group.
V. Adolescence
1.Back pain disorder and scoliosis are sometimes easily overlooked.
2.The problem of hunchback, is it postural? Or is it really abnormal? Be careful to distinguish.
3. The proportion of malignant tumors of the skeletal system tends to increase during this period.
From a pediatric orthopedic surgeon’s point of view, the growth of children’s bones is like a pendulum swinging from left to right. Sometimes, during the growth process, a small conceptual oversight (such as mistaking a sprain for a growth plate injury), or a mistake (taking a child with hip dysplasia combined with dislocation to an “osteopath”), or too much anxiety (taking a child with non-developmental hip joint to an “osteopath”). Or if you are too anxious (bringing a child with a non-diseased X-shaped leg to a “cure-all”), the child will suffer an accidental injury that will last a lifetime!
Therefore, care, attention, proper diagnosis, reasonable evaluation, conceptual treatment, and finding the right specialist are the right medical treatment and care! These are some of the things that only by you and me working together can we have successful social health care education.