Pediatric Bone and Growth Disorders
Pediatric Bone and Growth Disorders encompass a broad range of conditions affecting skeletal development, mineralisation, strength, and growth patterns throughout childhood. This session examines endocrine, nutritional, genetic, metabolic, and mechanical contributors to abnormal growth and bone health. Clinicians often attend a Pediatrics Conference to stay updated on diagnosis, monitoring, treatment decisions, and long-term management strategies.
Participants will review conditions such as short stature, growth-hormone deficiency, constitutional growth delay, skeletal dysplasias, rickets, osteogenesis imperfecta, metabolic bone disorders, and chronic-disease-related bone fragility. The session highlights the design of structured pediatric bone and growth disorder pathways that guide evaluation, imaging, laboratory testing, nutritional assessment, therapy selection, and monitoring.
Case examples illustrate practical challenges, including distinguishing familial short stature from hormonal deficiency, evaluating delayed puberty, identifying red flags for genetic conditions, and managing children with fractures from minimal trauma. Attendees will examine the role of nutritional support, vitamin D and calcium optimisation, physical activity, weight-bearing exercise, and multidisciplinary care involving endocrinology, genetics, orthopedics, physical therapy, and dietetics.
Participants will explore ethical considerations, such as shared decision-making around growth-hormone therapy, addressing unrealistic expectations, supporting psychosocial wellbeing, and advocating for equitable access to specialised care. Global perspectives highlight disparities in rickets prevalence, nutritional deficiencies, delayed diagnostics, and limited availability of metabolic bone testing in underserved regions.
The session concludes with emerging insights into genetic sequencing, bone-density monitoring tools, personalised growth modelling, and targeted therapies for rare skeletal conditions. Through a comprehensive clinical and developmental lens, attendees will strengthen their ability to support healthy skeletal growth and timely identification of disorders.
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Core Themes in Pediatric Bone and Growth Disorders
Understanding bone and growth physiology
- Exploring hormonal, nutritional, and genetic influences.
- Recognising normal versus abnormal growth trajectories.
Understanding bone and growth physiology
- Exploring hormonal, nutritional, and genetic influences.
- Recognising normal versus abnormal growth trajectories.
Therapeutic principles in bone health
- Supporting mineralisation through nutrition and exercise.
- Evaluating medical or surgical interventions when required.
Psychosocial considerations in growth disorders
- Addressing self-esteem and family concerns.
- Supporting adjustment through counselling and education.
Practice Insights and Growth Pathways
Developing pediatric bone and growth disorder pathways
Structuring assessment, treatment, and follow-up practices.
Strengthening multidisciplinary collaboration
Connecting endocrinology, genetics, orthopedics, and dietetics.
Supporting family-centred decision-making
Providing clear explanations about prognosis and therapy options.
Addressing disparities in care access
Improving diagnostic availability and nutritional support.
Monitoring growth outcomes consistently
Tracking patterns using standardised tools.
Integrating new technologies
Using genetic and imaging advancements for personalised care.
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