Diagnosis - Pediatric Orthopedics

Patellar tendonitis

Patellar tendonitis is a condition whereby the tendon that connects the kneecap to the shin bone becomes inflamed and painful.  This is often a result of overuse, particularly from physical activities that involve jumping (eg. basketball), which explains why patellar tendonitis is also often referred to as ‘jumper’s knee’.  The most common symptoms of patellar tendonitis are pain directly above the patellar tendon or experiencing pain during physical activity, particularly when jumping and/or kneeling.  Swelling may also be observed in some cases of patellar tendonitis.  Treatment may involve conservative therapy, medication, the use of medical aids or in rare cases, surgery.

Experts

Hospitals

  • HELIOS Hospital Berlin Zehlendorf

    HELIOS Hospital Berlin Zehlendorf

    With 554 beds, the HELIOS Hospital Zehlendorf is the largest hospital in the south west of Berlin. Its medical focus is on, orthopedics, pediatric surgery and pneumology, pneumology, plastic surgery, thoracic surgery, general and visceral surgery.

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Pinched nerve

A pinched nerve occurs when a nerve is pressed on from the surrounding tissues.  These tissues may include muscles, bones or tendons.  This can result in an impaired function of the affected nerve and may cause numbness, weakness, tingling or pain.  While a pinched nerve can occur anywhere in the body, certain areas are more prone than others, for instance the lower spine (following a slipped disc) or in the wrist (carpal tunnel syndrome).  The symptoms of a pinched nerve may clear up with rest and conservative treatments.  However, if the pain and symptoms of a pinched nerve persist, treatment in the form of medication (to relieve pain), physical therapy or surgery (to relieve pressure placed on the nerve) may be required.

Experts

Hospitals

  • HELIOS Hospital Berlin Zehlendorf

    HELIOS Hospital Berlin Zehlendorf

    With 554 beds, the HELIOS Hospital Zehlendorf is the largest hospital in the south west of Berlin. Its medical focus is on, orthopedics, pediatric surgery and pneumology, pneumology, plastic surgery, thoracic surgery, general and visceral surgery.

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Shoulder joint instability

The shoulder joint is the most mobile joint of the human body due to its being stabilised by moveable muscles and ligaments rather than by immovable bones.  However, when these ligaments or muscles become injured, the shoulder can lose a great deal of its stability, resulting in so-called ‘shoulder joint instability’ or ‘loose shoulder’.  Shoulder joint instability often arises following injury to the shoulder (for instance, shoulder dislocation resulting from contact sports, such as football).  Shoulder joint instability may however also arise in people who have naturally ‘loose’ shoulder structures.  The treatment of shoulder joint instability often involves surgical tightening of the supporting ligaments of the shoulder and repair of other damaged structures (eg. the capsule of the shoulder joint).

Experts

Hospitals

  • HELIOS Hospital Berlin Zehlendorf

    HELIOS Hospital Berlin Zehlendorf

    With 554 beds, the HELIOS Hospital Zehlendorf is the largest hospital in the south west of Berlin. Its medical focus is on, orthopedics, pediatric surgery and pneumology, pneumology, plastic surgery, thoracic surgery, general and visceral surgery.

    Show Hospital

Spinal column degeneration

The spine is composed of a column of bones, each also known as a ‘vertebra’.  The vertebrae are situated one on top of the other from the base of the skull down to the lower back.  Each vertebra has a hole in its centre and these holes line up to form a bony, tunnel-like structure which serves to protect the spinal cord, an extension of the brain that transmits information to and from the rest of the body.  Nerves enter and exit the spinal cord at each junction between two vertebrae through a hole called the intervertebral foramen.  These nerves may be responsible for movement or feeling in certain body parts, or may relay information from the body back to the brain. Unfortunately, over time, wear and tear may occur within different areas of the spinal column, resulting in degenerative changes.  While these changes are common in many older people and in mild cases do not display any symptoms, in more severe cases, people may experience lower back pain and stiffness.  Furthermore, spinal column degeneration may result in a curvature or shortening of the spine or bone thickening at certain areas.  This thickening of bone may cause the holes which the spinal cord and nerves pass through to become narrower, thereby ‘pinching’ or compressing the nerves/spinal cord.  This can result in weakness, pain, pins and needles or numbness in the affected area. Depending on the extent and location of spinal column degeneration, different therapies are available.  For milder cases of spinal column degeneration, conservative therapies (eg. lifestyle changes, physiotherapy, aquatic therapy) may be effective.  For more severe cases, operative therapy may be required to stabilise the spinal column or relieve burden placed on it.  When nerves or spinal cord are being compressed or pinched, surgery can remove part of the surrounding bone structure to give nerves more room to pass through.

Experts

Hospitals

  • HELIOS Hospital Berlin Zehlendorf

    HELIOS Hospital Berlin Zehlendorf

    With 554 beds, the HELIOS Hospital Zehlendorf is the largest hospital in the south west of Berlin. Its medical focus is on, orthopedics, pediatric surgery and pneumology, pneumology, plastic surgery, thoracic surgery, general and visceral surgery.

    Show Hospital