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Articles in the December issue discuss various health issues affecting school-aged children, including acne, eczema and growth disorders. Volume 43, No. Traditionally, the management of hip pain has been well defined by age groups such as the limping child and older patients with symptomatic osteoarthritis OA.

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Hip pain in athletes is a common cause of discomfort and can be a frustrating problem to treat. In the past, just about any hip pain symptom was attributed to a "muscle strain" type of injury. While this is a common cause of hip pain in athletes, we are learning more and more about other causes of hip pain that can sideline a player from the action.

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It also can arise as the result of repetitive motion from certain movements such as golf or soccer. Or, pain can result from a congenital condition that causes wear and tear on the joint. Sometimes the pain is noticed after sitting through a movie or getting in and out of a car.

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PID is a serious infection usually caused by sexually transmitted infections. It can cause problems including chronic pain and difficulty getting pregnant infertility. PID is an infection of the female reproductive organs the fallopian tubes, uterus, ovaries, vagina, and cervix. PID usually begins with an infection of the vagina and cervix the opening to the uteruscaused by an STI such as gonorrhea or chlamydia.

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Everyone knows that muscle cramp is painful, but imagine what a muscle cramp on the inside of your hip bones might feel like. They may have trouble walking when they have the pain and core-strength exercise often makes it worse. Other people describe a sudden stabbing pain up the vagina or bowel, or into the back.

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If you have pain in the area below your belly button and above your legs, this is known as pelvic pain. A lot goes on in the pelvic area; it's home to your bowel, bladder, ovaries, uterus womb and more. That's why when you have pelvic pain, it's important to know the differences between the common causes, to learn what's normal and what's not, and when you should seek help.

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Ischial tuberosity fracture and its associated complications are an under recognized diagnosis in the adolescent athlete. Apophyseal injuries of the pelvis in the skeletally immature athlete can occur in multiple locations but are most common at the ischial tuberosity, affecting males more commonly than females. The most common cause of ischial tuberosity avulsion fracture is a quick eccentric load to the proximal hamstrings, occurring with kicking as in soccer, football, or dance. Signs and symptoms are similar to a proximal hamstring injury but avulsion injuries often go undiagnosed, as radiographs are not frequently obtained.

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It is a condition that occurs when tissue similar to the inside lining of the uterus is found outside of its normal location. Endometrial implants can be found on the ovaries, fallopian tubes, and ligaments that support the uterus and tissue covering the bladder and rectum. The most common locations of endometrial implants in teens are in the cul—de—sac area behind the uterusand near the bladder.

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Taming the SRU. Plain radiographs are a widely available modality that confer benefits of cost effectiveness and promptness, proving them very useful as an initial diagnostic choice when approaching several musculoskeletal concerns, particularly pelvic and hip pathologies. Pelvic and hip X-rays are almost always obtained, and with good reason, in patients presenting after significant blunt trauma to rule out bony abnormalities and underlying structural injuries in patients that are unstable or altered, have an abnormal pelvic exam, or have significant distracting injuries.


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