Paediatric Musculoskeletal Examination: Difference between revisions

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A consensus approach to the MSK examination in children was developed by Foster et al in 2011.<ref>{{#pmid:21954040}}</ref> The open access consensus document is reuploaded here:
A consensus approach to the MSK examination in children was developed by Foster et al in 2011.<ref>{{#pmid:21954040}}</ref> The open access consensus document is reuploaded in the word document below, but has also been copied into bottoms of the relevant regional examination pages.


[[:Media:Paediatric MSK Examination.docx]]
{{Word|Paediatric_MSK_Examination.docx|Paediatric MSK Examination}}


== General Principles ==
'''''Introduction'''''
* Introduction of assessor to child and parent / carer
* Explanation of what to be examined, Gain verbal consent to examine
* Be aware of normal variants in leg alignment, joint range, gait, developmental milestones
'''''Look for:'''''
* Swellings, Rashes , Muscle wasting , Scars
* Deformity / Dysmorphism / Discomfort (nonverbal) / โ€œDisproportionsโ€
'''''Feel for:'''''
* Temperature, Swelling, Tenderness
'''''Move'''''
* Full range of movement โ€“ active and passive
* Restriction โ€“ mild, moderate or severe
'''''Function and measure'''''
* Functional assessment of joint / anatomic region to include power of muscles and stability
* Measurement of height / leg length
'''''Additional Options pending clinical scenario'''''
== See Also ==
* [[Musculoskeletal Examination Principles]]
==References==
[[Category:Examination]]
[[Category:Examination]]
<references />
[[Category:Paediatrics]]

Latest revision as of 21:11, 14 March 2023

This article is a stub.

A consensus approach to the MSK examination in children was developed by Foster et al in 2011.[1] The open access consensus document is reuploaded in the word document below, but has also been copied into bottoms of the relevant regional examination pages.

General Principles

Introduction

  • Introduction of assessor to child and parent / carer
  • Explanation of what to be examined, Gain verbal consent to examine
  • Be aware of normal variants in leg alignment, joint range, gait, developmental milestones

Look for:

  • Swellings, Rashes , Muscle wasting , Scars
  • Deformity / Dysmorphism / Discomfort (nonverbal) / โ€œDisproportionsโ€

Feel for:

  • Temperature, Swelling, Tenderness

Move

  • Full range of movement โ€“ active and passive
  • Restriction โ€“ mild, moderate or severe

Function and measure

  • Functional assessment of joint / anatomic region to include power of muscles and stability
  • Measurement of height / leg length

Additional Options pending clinical scenario

See Also

References

  1. โ†‘ Foster et al.. Pediatric regional examination of the musculoskeletal system: a practice- and consensus-based approach. Arthritis care & research 2011. 63:1503-10. PMID: 21954040. DOI.