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Pain of musculoskeletal origin in children

L T Staheli1

  • 1Children's Hospital and Medical Center, Seattle, Washington.

Current Opinion in Rheumatology
|October 1, 1992
PubMed

Insights

Pediatric pain presents uniquely by age, from infant pseudoparalysis to adolescent scoliosis. Diagnosis combines physical exams with advanced imaging like ultrasound and MRI for accurate assessment.

Area of Science:

  • Pediatric Orthopedics
  • Pediatric Rheumatology
  • Pediatric Neurology

Background:

  • Pediatric pain manifestations vary significantly with age.
  • Conditions like septic arthritis, Perthes' disease, and herniated discs present differently in children.
  • Accurate diagnosis is crucial for effective treatment and management.

Purpose of the Study:

  • To review the age-related manifestations of pain in children.
  • To highlight the role of modern imaging techniques in diagnosing pediatric pain.
  • To emphasize the continued importance of clinical assessment in guiding diagnostic choices.

Main Methods:

  • Review of clinical presentations of pediatric pain.
  • Discussion of diagnostic utility of ultrasound, bone scans, and magnetic resonance imaging (MRI).
  • Emphasis on the integration of patient history and physical examination.

Main Results:

  • Infant pain may present as pseudoparalysis (septic hip arthritis).
  • Children may present with a limp (Perthes' disease).
  • Adolescents might show scoliosis (herniated disc).
  • Imaging modalities like ultrasound, bone scans, and MRI aid in localizing pain sources.

Conclusions:

  • Clinical presentation of pediatric pain is age-dependent.
  • Advanced imaging complements, but does not replace, traditional assessment.
  • A thorough history and physical exam are fundamental for selecting appropriate diagnostic imaging.

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