{"id":3254,"date":"2017-01-10T07:05:02","date_gmt":"2017-01-10T07:05:02","guid":{"rendered":"http:\/\/www.agashehospital.com\/?p=423"},"modified":"2017-01-10T07:05:02","modified_gmt":"2017-01-10T07:05:02","slug":"when-should-you-refer-your-paediatric-patients-to-a-paediatric-orthopaedic-surgeon","status":"publish","type":"post","link":"https:\/\/myplus91.ddns.net\/agashehospital\/when-should-you-refer-your-paediatric-patients-to-a-paediatric-orthopaedic-surgeon\/","title":{"rendered":"When should you refer your Paediatric patients to a Paediatric Orthopaedic Surgeon?"},"content":{"rendered":"

Many aches and pains are common in growing children and often warrant nothing more than assurance. However there are certain conditions which warrant a referral to a Paediatric Orthopaedic Surgeon. Below is a general guideline for the same:<\/p>\n

Referral Guidelines for Paediatricians to Pediatric Orthopaedic Subspecialty<\/h3>\n
\n\n\n\n\n\n\n\n
Assessment by Paediatrician<\/th>\nRefer for a possible Diagnosis of<\/th>\n<\/tr>\n
* No arch present when standing tiptoe \/ when not weight bearing
\n* Limited Subtalar motion (9-15 years old) \/ Convex plantar surface (6-12 months old)<\/td>\n		Flat Foot<\/td>\n<\/tr>\n
* Curved lateral border of foot + Stiffness in child > 6 months old
\n* In-toeing with pain \/ disability
\n* Persistent severe femoral anteversion (increased internal rotation up to 90\u00ba and reduced external rotation in prone child with flexed legs) child > 6 years old
\n* Internal tibial torsion (increased thigh foot angle) in child > 6 years old<\/td>\n		In-toeing<\/td>\n<\/tr>\n
* Knee pain > 3 weeks duration + Positive X Ray (AP\/ Lat \/ Notch \/ Skyline)
\n* Positive hip exam (especially limited internal rotation) + Positive X Ray (AP \/ Frog Pelvis)<\/td>\n		Slipped Upper Femoral Epiphysis \/ Perthes<\/td>\n<\/tr>\n
* Knee pain < 3 weeks duration after cutting \/ pivoting + swelling + limping + locking + X Ray (AP \/ Lat \/ Notch \/ Skyline)<\/td>\nInjury<\/td>\n<\/tr>\n
* Angle of Trunk Rotation >5 + X Ray Standing (PA \/ Lateral) shows:
\ncurve > 10 degrees (in child 0-10 years old) or
\ncurve > 20 degrees (in child 11 years or older)<\/td>\n		Scoliosis<\/td>\n<\/tr>\n<\/table>\n<\/div>\n

As per AAP Survey1, 78% pediatricians say it is very important to use a pediatric trained subspecialist when referring for developmental dysplasia of the hip<\/p>\n

1 Periodic Survey #67 Of Fellows American Academy of Pediatrics Division of Health Services Research presented at the Pediatric Academic Societies annual meeting, May 2008<\/p>\n","protected":false},"excerpt":{"rendered":"

Many aches and pains are common in growing children and often warrant nothing more than assurance. However there are certain conditions which warrant a referral to a Paediatric Orthopaedic Surgeon.<\/p>\n","protected":false},"author":1,"featured_media":3218,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ocean_front_end_style_editor":"no","ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"","ocean_second_sidebar":"","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"","ocean_custom_header_template":"","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"","ocean_menu_typo_font_family":"","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"","ocean_post_oembed":"","ocean_post_self_hosted_media":"","ocean_post_video_embed":"","ocean_link_format":"","ocean_link_format_target":"self","ocean_quote_format":"","ocean_quote_format_link":"post","ocean_gallery_link_images":"on","ocean_gallery_id":[],"footnotes":""},"categories":[6],"tags":[],"class_list":["post-3254","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-for-doctors","entry","has-media"],"yoast_head":"\nWhen should you refer your Paediatric patients to a Paediatric Orthopaedic Surgeon? - Agashe Hospital<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/localhost\/agashehospital\/when-should-you-refer-your-paediatric-patients-to-a-paediatric-orthopaedic-surgeon\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"When should you refer your Paediatric patients to a Paediatric Orthopaedic Surgeon? - Agashe Hospital\" \/>\n<meta property=\"og:description\" content=\"Many aches and pains are common in growing children and often warrant nothing more than assurance. 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