May 2014

Click on image to Download the complete supplement in its original form PDF

Click on image to Download the complete supplement in its original form PDF

Smaller patients, bigger challenges

1Limb-Jordana-nolabel-100x100Children are not simply smaller versions of adults, and therefore their healthcare shouldn’t be a scaled-down version of adult management. We know this. But every once in a while we come across a poignant reminder of just how important that maxim is.

Some of you may remember the popular feature we published in LER on the challenges faced by wearers of ankle foot orthoses with regard to clothing styles (see “Finding fashion options that accommodate AFOs,” August 2013, page 25). This isn’t something you’ll read about in the medical literature, but it can make a big difference to a patient’s quality of life.

The same writer, Shalmali Pal, explored the same topic for this issue of LER:Pediatrics and found that while AFOs certainly can pose a stylistic challenge for many adults, having to make clothing choices work with AFOs can be an even bigger deal for kids.

For children, clothing choices are about independence. Picking out an outfit is one of the first memories most of us have of doing something for ourselves that a parent had typically always done for us. Yes, the stylishness of our efforts might have been questionable, but at least most of us didn’t have leg braces to complicate the process.

For children, clothing choices are also about identity, about standing out from the crowd or fitting in. Sometimes it’s great to make a statement with colorful AFOs, but other times a kid just wants to be able to wear the same skinny jeans as everyone else.

Children are not simply smaller versions of adults. Sometimes they’re much more complicated. And that’s what LER: Pediatrics is all about.

By Jordana Bieze Foster, Editor


  • Plaster outranks other pediatric casting materials for moldability

    Sometimes, even when new treatment materials are available, it may be better to rely on traditional options. Such may be the case when it comes to choosing a molding material to form casts for children with clubfoot or fractures.

    By Larry Hand

  • Risks of overuse, burnout extend to youth athletes

    Despite the slim odds of securing an athletic scholarship and the even slimmer prospect of playing professional sports, there’s an overemphasis today on success in competitive youth sports, including specialization and…

    By P.K. Daniel

  • Early outcomes support internal technique for limb lengthening

    Preliminary evidence supports the use of a new internal technique for limb lengthening, according to data from the International Center for Limb Lengthening (ICLL) at the Rubin Institute for Advanced Orthopedics of Sinai Hospital in Baltimore.

    By Samantha Rosenblum


  • Kids, clothes, and AFOs: Finding just the right fit

    When a child is required to wear ankle foot orthoses (AFOs), his or her clothes have to be more than just cute. Trying to match the logistical requirements of AFOs with fashion concerns and psychosocial development can be a challenge for patients and parents alike.

    By Shalmali Pal

  • Juvenile hallux valgus: Shoe fit and other considerations

    Austrian research suggests too-short shoes may contribute to the development of bunions in children, and genetics also appear to play a role. Most clinicians try to avoid surgery in young patients, instead turning to conservative strategies such as…

    By Christina Hall Nettles


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