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Orthopaedic surgery

Ortho care to get your kid moving again  

From common childhood injuries like broken bones and fractures – to more complex ortho conditions like scoliosis, limb deformities, neuromuscular conditions and trauma – we help kids gain greater mobility and freedom.   

Our specialists understand how children’s bones and muscles – which are growing by the minute– are different and need tailored diagnostic tools and treatment. Our orthopaedic surgeons partner with radiologists to review your child’s X-rays and anesthesiologists to monitor your child in the operating room. Our team also is on the front lines in managing growing numbers of young school athletes, who come to us with a range of injuries from broken bones to overuse of muscles and joints from year-round play. 

Therapist looks at spine on x-ray

Latest medical technology for diagnosis, treatment 

X-rays, MRI and CT scans are important tools in ortho treatment, and our doctors are committed to limiting your child’s exposure to radiation. Our Children’s Pavilion is home to Central Virginia’s first EOS X-ray imaging tool, a cutting-edge diagnostic resource that uses low-dose radiography to produce 3-D images. We can safely assess patients when repeat imaging is essential, such as monitoring scoliosis or leg length discrepancies, while reducing exposure to radiation by 50 percent or more. As a referral center, we encourage families to bring any previous X-rays or imaging files when they bring their children for an appointment.  

We also offer physical and occupational therapy and make it easy for families by coordinating those appointments. Even better, because our therapists work closely with our orthopaedic specialists, your child gets exactly the care your doctor prescribes.

Two therapists seated in lobby

Multispecialty care 

Because mobility issues often involve other conditions, orthopaedics works hand-in-hand with other pediatric subspecialties to develop the best treatment plan for your child. Our team participates in multispecialty clinics for children with: 

Urgent orthopaedic care 

Rather than rushing to the emergency room, call us to schedule a same-day appointment for our urgent care clinic in the Children’s Pavilion Monday through Friday, 8 a.m. to 4 p.m. 

Children's Pavilion - Level 3, Pod D 

Conditions and treatments 

Our orthopaedic specialists treat children for conditions including: 

  • Bow legs and knock knees 
  • Brachial plexus injury (injury to nerves from the shoulder to the arm) 
  • Cerebral palsy 
  • Club foot 
  • Developmental hip dysplasia (hip joint) 
  • Flat feet 
  • Foot and ankle anomalies 
  • Fractures 
  • Hand anomalies 
  • In toeing, out toeing 
  • Leg malalignment 
  • Muscular dystrophy 
  • Perthes disease (hip disorder) 
  • Scoliosis, kyphosis (spine alignment conditions) 
  • Slipped capital femoral epiphysis (growth plate hip fracture) 
  • Spina bifida 
  • Sports injuries 
Joanna Horstmann
Joanna Horstmann MD Orthopaedic surgery, Cerebral Palsy Clinic, Spina Bifida Clinic, Muscular Dystrophy Clinic, Sports medicine Read more
Victoria Kuester
Victoria Kuester MD Orthopaedic surgery, Craniofacial care, Cerebral Palsy Clinic, Spina Bifida Clinic, Muscular Dystrophy Clinic, Sports medicine, Vascular birthmarks/malformations Read more
Patricia Rinehart
Patricia Rinehart RN, ONC, FNP Orthopaedic surgery Read more
Amber Allen
Amber Allen RN Orthopaedic surgery Read more


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