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Paediatric Musculoskeletal Examination
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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) / “Disproportions”
Feel for:
- Temperature, Swelling, Tenderness
Move
- Full range of movement – active and passive
- Restriction – 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
