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Leg aches

H A Peterson

    Pediatric Clinics of North America
    |November 1, 1977
    PubMed

    Insights

    Diagnosing growing pains in children requires excluding serious underlying conditions. Misdiagnosing growing pains can lead to overlooking critical organic diseases in pediatric leg pain evaluations.

    Area of Science:

    • Pediatric Medicine
    • Rheumatology
    • Orthopedics

    Background:

    • Leg aches are common in children, presenting a diagnostic challenge.
    • Growing pains is a frequently used, yet poorly defined, diagnosis for pediatric leg pain.

    Purpose of the Study:

    • To emphasize the critical need for accurate diagnosis in children presenting with leg aches.
    • To highlight the diagnostic pitfalls associated with the 'growing pains' label.

    Main Methods:

    • Differential diagnosis of pediatric leg pain.
    • Exclusionary diagnostic criteria for growing pains.
    • Clinical evaluation of children with leg aches.

    Main Results:

    • Growing pains should only be diagnosed after all other potential organic causes are ruled out.
    • A significant diagnostic error occurs when serious underlying conditions are missed in favor of a growing pains diagnosis.

    Conclusions:

    • Accurate identification of organic diseases is paramount in children with leg aches.
    • The diagnosis of growing pains is one of exclusion and requires thorough investigation to avoid overlooking serious pathology.

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