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Related Concept Videos

Anatomical Positions01:11

Anatomical Positions

In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...

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A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
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The pediatric spine: anatomical and dynamic considerations preceding manipulation.

Michael L O'Neal1

  • 1Department of Family Medicine, University of South Florida College of Medicine, Tampa, Fla., USA.

Comprehensive Therapy
|November 11, 2003
PubMed
Summary

Spinal manipulation can cause subtle growth plate fractures in children. These injuries are often missed due to their hidden nature, suggesting under-diagnosis in pediatric cases.

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Area of Science:

  • Orthopedics
  • Pediatric medicine
  • Chiropractic research

Background:

  • Spinal manipulation is a common treatment for various conditions.
  • While generally safe, potential complications exist, particularly in pediatric patients.
  • Growth plate injuries are a concern in pediatric musculoskeletal trauma.

Purpose of the Study:

  • To highlight the under-recognized risk of subtle growth plate fractures in children undergoing spinal manipulation.
  • To emphasize the importance of considering these occult injuries in pediatric patients.

Main Methods:

  • Review of pediatric cases involving spinal manipulation.
  • Analysis of injury patterns consistent with growth plate trauma.
  • Discussion of diagnostic challenges associated with subtle fractures.

Main Results:

  • High-velocity spinal manipulation techniques may lead to subtle growth plate fractures in children.
  • The occult nature of these fractures contributes to under-appreciation and under-diagnosis.
  • Radiographic and clinical findings may be nonspecific, complicating diagnosis.

Conclusions:

  • Pediatric spinal manipulation carries a risk of subtle growth plate fractures.
  • Increased clinical awareness and diagnostic vigilance are necessary to identify these injuries.
  • Further research is warranted to fully understand the incidence and management of these complications.