Pediatric Orthopedics

Care for growing bones, joints, and muscles. Schedule an appointment.

Smiling preteen girl with her smiling mother and father in the pediatric orthopedics clinic

Staying active is an important part of childhood. Growing bodies need professional, prompt attention to protect a lifetime of healthy activity. The pediatric orthopedics team at Helen DeVos Children’s Hospital treats a wide range of conditions affecting the bones, joints and muscles of infants, children and teens. Because their skeletons are still growing, orthopedic issues in children can be quite different than in adults.

Find a pediatric orthopedic specialist

Our experienced pediatric doctors and specialists are ready to serve you and your family.

Our team

Our team includes some of the most talented pediatric orthopedic specialists in the country. This team includes board-certified, fellowship-trained orthopedic surgeons, physician assistants, nurses, radiology technicians and cast technicians who specialize in treating infants through teenagers. From small fractures to complex spine problems, our goal is to work with you to find the right treatment plan for your child while providing your child with the best possible experience.

Conditions and treatments

Our team has the clinical skills to solve your child’s musculoskeletal problems and the comforting bedside manner to calm nerves. We offer both surgical and non-surgical treatments for a wide variety of conditions, from those present at birth, to those that develop with age or are the result of a traumatic injury. We use the latest techniques and technologies to deliver outstanding care.

We expertly diagnose and treat a variety of conditions. Areas of our specialization include, but are not limited to:

Broken bones, or fractures, are a common childhood injury. Special factors must be considered when treating fractures in children and adolescents to avoid problems as they grow. Our specially-trained pediatric orthopedic team considers all factors involved when treating broken bones in growing children and adolescents. We offer a walk-in fracture clinic every Monday through Friday from 7 to 8 am as well as same day appointments so you can get on the road to recovery fast.

Our clinic

Clinic hours

Monday to Friday. Walk-in 7 to 8 am. Call 616.267.2600; same-day appointments 8 am to 5 pm may be available.

Treatment options

Our pediatric orthopedic team reduces the pain and stress that a broken bone can have on a child and family. We use the latest techniques and technologies to manage fractures in children of all ages. Our fracture clinic provides convenient, walk-in care from 7 to 8 am on weekdays as well as same day appointments Monday to Friday for all patients ages 18 and under. Call 616.267.2600 for an appointment.

X-ray
close icon

Our onsite x-ray services allow us to quickly diagnose and treat each child’s injury.

Casting
close icon

We offer both waterproof and non-waterproof casts to keep the bone in place while it heals. (Not all fractures can be treated with waterproof casts; we work individually with each person to develop the best course of action.) Your child can pick a color for their cast; many times we even do more than one color!

Splints and braces
close icon

Some fractures may only require a splint or brace to allow the bone to heal. Our orthopedic experts will determine if this option will work in each patient.

Surgery
close icon

Depending on the type and location of the fracture, surgery may be needed. Surgery can range from reducing, or setting, the bone to holding the bone in place with pins, plates or screws.

Long-term follow up
close icon

Children’s bones are special because they are growing. When a fracture involves the growth plate (the area of cells that helps bones grow), follow up may be needed to monitor growth. If any damage was done to the growth plate our orthopedic specialists can identify, and often correct, the problem, preventing any long-term difficulties.

Broken bones, or fractures, are a common childhood injury. Special factors must be considered when treating fractures in children and adolescents to avoid problems as they grow. Our specially-trained pediatric orthopedic team considers all factors involved when treating broken bones in growing children and adolescents. We offer a walk-in fracture clinic every Monday through Friday from 7 to 8 am as well as same day appointments so you can get on the road to recovery fast.

Our clinic

Clinic hours

Monday to Friday. Walk-in 7 to 8 am. Call 616.267.2600; same-day appointments 8 am to 5 pm may be available.

Treatment options

Our pediatric orthopedic team reduces the pain and stress that a broken bone can have on a child and family. We use the latest techniques and technologies to manage fractures in children of all ages. Our fracture clinic provides convenient, walk-in care from 7 to 8 am on weekdays as well as same day appointments Monday to Friday for all patients ages 18 and under. Call 616.267.2600 for an appointment.

X-ray
close icon

Our onsite x-ray services allow us to quickly diagnose and treat each child’s injury.

Casting
close icon

We offer both waterproof and non-waterproof casts to keep the bone in place while it heals. (Not all fractures can be treated with waterproof casts; we work individually with each person to develop the best course of action.) Your child can pick a color for their cast; many times we even do more than one color!

Splints and braces
close icon

Some fractures may only require a splint or brace to allow the bone to heal. Our orthopedic experts will determine if this option will work in each patient.

Surgery
close icon

Depending on the type and location of the fracture, surgery may be needed. Surgery can range from reducing, or setting, the bone to holding the bone in place with pins, plates or screws.

Long-term follow up
close icon

Children’s bones are special because they are growing. When a fracture involves the growth plate (the area of cells that helps bones grow), follow up may be needed to monitor growth. If any damage was done to the growth plate our orthopedic specialists can identify, and often correct, the problem, preventing any long-term difficulties.

Clubfoot is a condition that causes one or both feet to twist in and down at birth. It causes no pain until a child starts standing or walking, and then it can be nearly impossible to walk normally. Our pediatric orthopedic team is specially trained in the best treatment approaches, including the Ponseti method. We utilize highly successful treatments for clubfoot that ensure most children grow up to have no limitations and lead busy and active lives.

Treatment options

Because newborn joints, ligaments and tendons are very flexible, treatments for clubfoot are recommended to start two to four weeks after birth. The Ponseti Method is the gold standard nonsurgical approach to treating clubfeet. We have one of three practicing providers in the state of Michigan that is recognized as a preferred provider by The Ponseti International Association.

Follow-up care is key for success. Special braces and stretching exercises continue for several years to make sure the clubfoot does not return as your child grows. The risk of needing surgery for further correction before age 6 is significantly higher in children who do not wear their braces. We continue to monitor kids throughout childhood and adolescence to watch for signs that the clubfoot could be recurring. Caring for a child with clubfoot is a team effort and parents are one of the most important parts of the team.

Ponseti method
close icon

Considered the gold standard for clubfoot treatment, this method uses manipulation, a series of casts and often a small procedure to lengthen the Achilles tendon over the course of two to three months to correct the clubfoot.

Maintenance and follow-up
close icon

Treatment to correct a clubfoot includes several years of parental involvement and continued care. Stretching and braces are used at home to keep the clubfoot from returning to its abnormal position before treatment.

Surgery
close icon

Surgery is sometimes necessary to lengthen tendons so the foot has full motion. A portion of children treated successfully with the Ponseti method will need one of their tendons moved from the inside of their foot to the outside to help them walk better. This usually occurs between ages 4 and 6. In some situations, more complex surgery may be required to correct clubfeet, especially if the clubfeet are associated with other conditions.

Hip dysplasia occurs when a baby is born with a shallow hip socket. This can make the “ball” at the top of the leg bone slip in and out of the socket. Without treatment, this can lead to osteoarthritis and other hip deformities in young adulthood. When diagnosed and treated appropriately, most children develop normally.

Hip dysplasia is a common condition, and babies that are breech, first-born females or have a family history of hip dysplasia are at a higher risk for having the condition. As experts in the complexities of growing bodies, our pediatric orthopedic providers can determine the right treatment based on a child’s age and the severity of the condition.

Treatment options

Checking for dysplasia of the hip in babies is a regular part of standard checkups with their primary care providers. When diagnosed, one of our pediatric orthopedic specialists can help stabilize the hip and treat the condition to prevent pain or problems later in life. Often a simple harness before 6 months of age is enough to correct the problem, but other times, casting or surgeries are needed to ensure full recovery. Working with our exceptional pediatric orthopedic surgeons is the key to proper treatment.

Pavlik harness
close icon

This harness is used on babies up to 6 months old to hold the hip in place. Sometimes just the harness is enough to successfully treat hip dysplasia.

Casting
close icon

If the hip continues to be partially or completely dislocated, casting may be required. The cast will be reapplied regularly to allow for baby's rapid growth.

Surgery
close icon

When other methods are not successful, surgery may be required to put the hip back into place. Depending on the age of the child, surgery may include pelvic surgery to deepen the socket of the hip; or shortening of the femur to re-position the ball of the hip.

Part of the treatment after a hip surgery is the spica cast, which holds the hip in place while it heals. After a cast is removed following surgery, a special brace and/or physical therapy exercises may be used to help the hip develop.

We partner with pediatric neuroscience center physicians who are experienced in the diagnosis and treatment of all forms of neuromuscular disorders, including duchenne muscular dystrophy and spinal muscular atrophy. Extensive diagnostic testing and a team of treatment professionals combine to help children improve muscle and joint function, while slowing muscle deterioration so individuals can live as actively and independently as possible.

If your child is diagnosed with osteosarcoma, Helen DeVos Children's Hospital can provide a highly specialized pediatric and adolescent bone and sarcoma treatment team, including the only two pediatric orthopedic oncology surgeons in West Michigan. The bone and sarcoma multispecialty clinic allows patients to see a team of experts in a single visit. We offer the newest therapies and technology available to diagnose and treat bone cancer. Our team is also active in research to understand this cancer better and improve treatment options, as a member of the Sarcoma Alliance for Research through Collaboration and Children’s Oncology Group, among others.

Scoliosis is a curvature of the spine, occurring at any age, but most often during the growth spurt before puberty begins. Our pediatric orthopedic team evaluates and determines the right plan of care based on the latest in advanced surgical and non-surgical treatment options.

Treatment options

Decisions regarding treatment for scoliosis are made based on the degree of spinal curve and the patient’s age. Small curves may require no treatment at all, or simple observation to confirm that the curve doesn’t worsen. Moderate-sized curves may be treated with a back brace to help prevent further curvature of the spine.

Severe curves, or those that don’t respond to bracing, may require surgery to correct the spine and prevent progression of the condition throughout life. It’s delicate, specialized surgery, in which our experts are highly skilled. Most kids are able to resume an active life after treatment.

We also offer vertebral body tethering, a new technique used for certain curves that don’t respond to bracing in children who have a significant amount of growth remaining.

Back braces
close icon

A lightweight back brace will hold the spine in place and prevent the curve from worsening. The type of brace selected will depend on the location and severity of the curve, but many children can be treated with braces that are only worn at night.

Growing rods
close icon

Children with significant growth remaining may require specialized surgery to allow further growth of the spine after surgery; also known as growing rods. We use magnetic growing rods that allow lengthening of the rods in the clinic, without the need for a return to the operating room that used to be needed with previous growing rod techniques.

Surgery
close icon

Spine fusion

Most cases of scoliosis that require surgery are effectively treated with a spine fusion to straighten the spine and prevent the curve from worsening through life.

Vertebral body tethering

This bone growth modulation approach uses minimally-invasive surgery to restrain growth on one side of the spine and allow growth on the other side causing the curve to gradually correct itself over time.

Spondylolysis is a stress injury of the spine that can cause lower back pain in children. Our experienced pediatric orthopedic team can properly diagnose and treat your child's back pain.

Treatment options

Spondylolysis requires rest and activity restrictions to fully heal. Our doctors can determine best treatments, which may include bracing to help stabilize bones as they heal or physical therapy to strengthen the muscles of the back. It's important to work with our pediatric orthopedic specialists to make sure that the condition does not worsen.

Activity restriction
close icon

To fully heal, activity will have to be lessened for a period of time. Your doctor can work with you to determine the amount and length of activity restriction.

Movement restriction
close icon

To help your child from doing any further movement that could worsen their condition, your doctor may give them a splint, cast or back brace.

Pain medicine
close icon

To help ease pain, your doctor may work with you on over-the-counter or prescription medications that are appropriate for your child.

Physical therapy
close icon

Once the stress fracture has healed, physical therapy may be needed to help your child strengthen muscles and prevent future repetition of the injury.

Spinal fusion surgery
close icon

This surgery is a spinal fusion or internal brace with screws and rods to hold together the vertebra as the fusion heals.

Provider referral

Information on referring to Helen DeVos Children's Hospital