Lynn Taylor Staheli - Fundamentals of pediatric orthopedics

Lynn T. Staheli, M.D.

Emeritus Professor, Department of Orthopedics
University of Washington School of Medicine
Seattle, Washington

Emeritus Editor, Journal of Pediatric Orthopaedics

Acquisitions Editor: Jamie M. Elfrank

Product Development Editor: Ashley Fischer

Editorial Assistant: Brian Convery

Marketing Manager: Stephanie Kindlick

Production Project Manager: David Orzechowski

Design Coordinator: Doug Smock

Manufacturing Coordinator: Beth Welsh

Prepress Vendor: SPi Global

Fifth edition

Copyright 2016 Staheli, Inc., 4116 48th NE, Seattle, WA 98105 USA.

Copyright 2008 Staheli, Inc., 4116 48th NE, Seattle, WA 98105 USA. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at (products and services).

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Library of Congress Cataloging-in-Publication Data

Staheli, Lynn T., author.

Fundamentals of pediatric orthopedics / Lynn T. Staheli. Fifth edition.

p. ; cm.

Includes bibliographical references and index.

ISBN 978-1-4511-9393-0 (alk. paper)

I. Title.

[DNLM: 1. Bone Diseases. 2. Child. 3. Infant. 4. Athletic Injuries. 5. Musculoskeletal Abnormalities. 6. Orthopedic Procedures. WS 270]

RD732.3.C48

618.92'7dc23

2015005261

This work is provided as is, and the publisher disclaims any and all warranties, express or implied, including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.

This work is no substitute for individual patient assessment based upon healthcare professionals' examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.

Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturer's package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.

LWW.com

This fifth edition of the Fundamentals of Pediatric Orthopedics (FPO) was prepared with the help of five consultants who practice as Seattle Children's Hospital in the Department of Pediatric Orthopedics and Sports Medicine.

Their academic appointments are with the University of Washington School of Medicine or Nursing, Seattle.

They provided different perspectives in making this fifth edition relevant for the varied Care Providers for children with musculoskeletal problems.

Seattle Children's Hospital and Regional Medical Center, Seattle, Washington.

Monique Burton, MD
Sports Medicine Pediatrician Director of Sports Medicine

Brenda Eng, MN, CPNP, ARNP
Pediatric Nurse Practitioner

Thomas Jinguji, MD
Pediatrician
Pediatric Orthopedic Musculoskeletal
Medicine Practitioner

Cheryl Parker, PA
Physician Assistant
Supervisor PA/NP Team

Gregory Schmale, MD
Pediatric Orthopaedic Surgeon
Clinic Chief, Sports Program
Director, Orthopaedic Education

Fundamentals of Pediatric Orthopedics was designed to make learning the basics of pediatric orthopedics a rapid and pleasant experience. Features:

1.This book is designed for the primary care physician. It may be useful for orthopedists as a rapid review of children's problems.

2.An effort was made to control production costs to make the book affordable.

3.The book was produced in color, not only to make it engaging but also to make it most efficient in communicating information.

4.Suggested treatment is scientifically based, current, and child oriented. I suggest management that emphasizes the welfare of the whole child. Special attention is given to natural history.

5.More emphasis is placed on principles than details.

6.Parent education and reference material are included in the last chapter.

7.The book was computer generated. It was conceptualized, designed, and written in my office. This made possible the integration of the text and illustrations to cover each topic efficiently.

Credit is due many hundreds of colleagues whose research and ideas contribute to our knowledge of children's orthopedics. My contribution is based on more than two decades of experience in clinical practice and as head of our university-based teaching program in pediatric orthopedics.