Acute painful joints |
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| Authors: | M.J. Rogers A.M. Wainwright N.M.R. Wilkinson |
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| Affiliation: | 1. Department of Orthopaedics and Pediatric Traumatology, Pedagogical and Pediatrics Surgical Research Unit, Faculty of Medecine of Rabat, Morocco;2. Department of Pathology, Hôpital d’enfants, Rabat, Morocco;1. Department of Family and Community Medicine, University of Kansas School of Medicine–Wichita, 1010 North Kansas, Wichita, KS 67214, USA;2. Wesley Family Medicine Residency Program, Wichita, KS 67214, USA;1. Department of Orthopedic Surgery, Monmouth Medical Center, Long Branch, New Jersey, U.S.A.;2. Department of Orthopedic Surgery, University of Miami, Miami, Florida, U.S.A.;3. Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, U.S.A.;4. Professional Orthopedic Associates, Tinton Falls, New Jersey, U.S.A.;1. Mugla S?tk? Kocman University, Faculty of Medicine, Department of Orthopaedics and Traumatology, Mugla, Turkey;2. Department Physical Therapy and Rehabilitation, Erzurum Regional Education and Research Hospital, Erzurum, Turkey;3. Department of Orthopaedics and Traumatology, Bodrum Acibadem Hospital, Mugla, Turkey;4. Department Of Neurology, Erzurum Regional Education and Research Hospital, Erzurum, Turkey |
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| Abstract: | Musculoskeletal pain affects up to 20% of children at any one time, by far the majority of whom have minor or benign disorders. Deciding which patients have significant pathology is key. We consider the presentation of joint pain in four clinical settings: a child who is unwell with fever; a child who is well with mechanical joint symptoms or following trauma; a child with acute joint pain as part of a chronic condition; and a child with hip specific pathologies. This approach can help to formulate a differential diagnosis, guide appropriate investigations and institute effective treatment. |
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