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Practical primary pediatric orthopedics.

E J Wall¹

¹Sports Medicine Division, Pediatric Orthopaedic Surgery, Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA.

The Nursing Clinics of North America

|February 16, 2000

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Primary care providers can manage common pediatric orthopedic issues with a good history and exam. This guide offers practical assessment and management strategies for conditions like hip dysplasia, limb alignment, and fractures.

Area of Science:

Pediatric Orthopedics
Primary Care Medicine

Background:

Pediatric orthopedic conditions frequently challenge primary care providers and cause family concern.
A comprehensive orthopedic history and physical examination are crucial for determining the need for specialist referral.

Purpose of the Study:

To provide primary care providers with a practical approach to common pediatric orthopedic problems.
To outline assessment and management strategies from a specialist's viewpoint.
To guide management decisions both before and after orthopedic referral.

Main Methods:

Review of common pediatric orthopedic conditions.
Description of assessment and management strategies.
Guidance on referral criteria.

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Main Results:

Common pediatric orthopedic issues include developmental dysplasia of the hip, foot misalignments, tibial torsion, toe-walking, genu varum (bowlegs), growing pains, sprains, fractures, and limping.
A thorough history and physical exam by primary care providers can often identify conditions requiring further evaluation.
Management strategies are presented for various conditions, aiding primary care providers in initial treatment and referral decisions.

Conclusions:

Primary care providers can effectively manage many pediatric orthopedic problems.
Understanding common conditions and employing a structured assessment approach improves patient outcomes.
Timely and appropriate referral to orthopedic specialists is essential when necessary.