Group | Diseases | Intervention | Considerations |
Emergencies | Neurovascular compromise | A gentle reduction, angioplasty, or emergency open surgery |
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Septic arthritis | Open joint drainage, antibiotic administration | Reevaluating the response through clinical exam improvement and decreased CRP | |
Compartment syndrome | Fasciotomy | 3 As to doubt: more Analgesia for pain but no relief, Anxiety, and Agitation | |
Slipped capital femoral epiphysis | Emergency fixing surgery | Consider the risk of AVN of the hip | |
Open fracture | Immediate wound irrigation, debridement, and fracture stabilization | Do not forget antibiotics prescription and tetanus vaccination update | |
Overuse injury | Stress fracture | Hard-sole shoe, casting, repair surgery (irrigation and debridement), and antibiotics prescription if needed | Consider nail deformity and osteomyelitis |
Osgood-Schlatter disease | Ice pack, anti-inflammatory drugs, activity restriction | Rule out the dangerous causes | |
Sever disease | |||
Osteochondritis dissecans | Several months of activity modification and weight limitation, anti-inflammatory drugs | Arthroscopy fixation is needed in unstable cases | |
Toddlers | DDH | Open surgery |
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Foreign body | Removing the foreign bodies and starting antibiotics | Cover Staphylococcus, Streptococcus, and Pseudomonas if needed | |
Toddler fracture | Casting | 4 weeks duration of treatment | |
Osteomyelitis | Surgical drainage and debridement, antibiotics prescription |
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Limb deficiency |
Corrective surgery |
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Clubfoot |
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Spina bifida |
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Coxa vara | Protective treatment or corrective surgery | Association with metabolic bone diseases or osteomyelitis | |
3 - 10-year-old children | Legg-Calvé-Perthes disease | Anti-inflammatory drugs, controlled weight-bearing, activity limitation, and physical therapy | Casting and surgery if symptoms continue |
Transient synovitis | 7 to 10 days duration of improvement | ||
Kohler disease | Consider the possibility of impaired blood flow and avascular necrosis | ||
Charcot-Marie-Tooth disease | Corrective surgery |
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Equinus contracture |
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Idiopathic tight Achilles tendon |
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10-year-old children | Diskitis | Anti-inflammatory drugs, rest |
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Tumors | Surgical resection | Pediatric genetic evaluation is needed in some cases like osteochondroma | |
Tarsal coalition | Conservative treatment, temporary boot or cast, fusion or resection surgery in severe cases |
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Discoid meniscus | Conservative treatment, meniscectomy in severe cases |
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Juvenile Idiopathic Arthritis (JIA) | Corticosteroid agents, referring to a rheumatologist |
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Malignancies | Immediate biopsy and surgery, referring to an oncologist |
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