Hip and Lower Extremity Program

At Children's Wisconsin, our team of pediatric orthopedic surgeons and providers specialize in treating conditions involving the lower extremity, from the hip to the toes. These can range from conditions or differences your child may have been born with to conditions that appear with development, overuse or injury.

Every day, children and teens are seen by our specialists with the experience and most advanced training in surgical procedures and clinical treatment. In collaboration with the Medical College of Wisconsin, our providers are also working closely with researchers to develop and utilize cutting-edge diagnostics and treatment.

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Hip and lower extremity conditions

Hip conditions
There are a number of different orthopedic conditions that can affect a child or teen's hip joint. One of the most common conditions seen in infants is hip dysplasia. All of our surgeons and their teams are experienced in treating this condition, whether it requires only treatment in a brace or if it gets to point where it requires surgery. In older children and teens with this condition, they may require a hip preservation procedure. As further options for treatment, we also offer hip arthroscopy, surgical dislocation, and injections.

Some of the common hip conditions we treat are:

If your child starts limping, it's important to get an evaluation right away. There are several possible causes, some involving the hip. SCFE is a condition we see in preteens and teens when the ball or femoral head in the hip socket starts to fracture and slip at the growth plate. This can be an emergency, so it is important to address it immediately.

Members of our orthopedic team specialize in the treatment of certain sports-related hip conditions such as labral tears and femoral impingement. If your child is suffering from a hip injury, we would be happy to evaluate, and if needed, provide the experienced care your young athlete deserves.

Knee, ankle, and foot conditions:

  • Growth related overuse injuries
    • Osgood Schlatter's disease
    • Sever's disease
    • Iselin's disease
  • Osteochondritis dissecans
  • Genu Valgum and Genu Varum
  • Intoeing
    • Femoral anteversion
    • Tibia torsion
    • Metatatarsus adductus
  • Outtoeing
    • Clubfoot
    • Metatarsus adductus
    • Tarsal coalitions
    • Bunions
    • Curly toes

In addition to our specialized knowledge in caring for children's specific health needs, we offer many on-site, in-clinic services that save you and your child precious time. This includes access to immediate radiology services and consultation, casting and bracing with a pediatric orthotist for specialized braces, and weekly clinics dedicated to patients with lower extremity developmental conditions.

  • Fibular/tibial hemimelia, congenital short femur/proximal femoral focal deficiency, posterior medial tibial bowing, hemihypertrophy, Beckwith-Wiedmann syndrome, skeletal dysplasias, developmental (no known cause), Blount's disease, previous infection or growth plate injury which has results in a leg length discrepancy

Imaging

  • Radiographs
  • Teleoroentgenography (scanography)
  • EOS
  • Measure discrepancy with single exposure from 2m away
  • Bone age hand films
  • Determine bone age with bone age x-ray (hand)
  • CT Scanography

Treatment

  • Observation
  • Shoe lifts
  • Epiphysiodesis (links to devices/images)
  • External Fixation (links to devices/images)
  • Internal Fixation (links to devices/images)