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The Approach to the Child with Joint Complaints

Kathleen A Haines1

  • 1Pediatric Immunology, Section of Pediatric Rheumatology and Immunology, Department of Pediatrics, Seton Hall-Hackensack Meridian School of Medicine, Hackensack University Medical Center, 30 Prospect Avenue, Room WFAN 360, Hackensack, NJ 07601, USA.

Pediatric Clinics of North America
|July 23, 2018
PubMed

Insights

This guide offers a structured approach to evaluating pediatric joint complaints, distinguishing between painful and non-painful symptoms. It provides recommendations for physical examination and judicious use of diagnostic tests in children.

Area of Science:

  • Pediatric Rheumatology
  • Clinical Assessment

Background:

  • Joint complaints are common in children.
  • A systematic approach is needed for accurate diagnosis.

Purpose of the Study:

  • To outline an organized method for evaluating pediatric joint issues.
  • To guide history taking, physical examination, and investigations.

Main Methods:

  • Classification of joint complaints (pain, swelling, fever, duration).
  • Recommendations for physical examination techniques.
  • Guidance on selecting appropriate laboratory and imaging studies.

Main Results:

  • A clear diagnostic pathway for pediatric joint problems.
  • Distinction between urgent and non-urgent presentations.
  • Evidence-based suggestions for diagnostic test utilization.

Conclusions:

  • An orderly approach improves the evaluation of children with joint complaints.
  • Judicious use of investigations optimizes diagnostic accuracy and resource allocation.

Keywords:
AutoimmunityInfectionInflammationJointsPainSports injuriesTraumaVasculopathy

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