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Musculoskeletal Problems of Children

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Family Medicine

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Abstract

Most family physicians see many musculoskeletal complaints in their office, but they should be aware that children have some conditions that are unique and may not be encountered in adults. This chapter will discuss generalized and regional musculoskeletal conditions, including fracture patterns, gait concerns, and overuse issues encountered among children and adolescents.

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References

  1. Walter K. Orthopedics. In: Merrit J, Cicalese B, editors. Nelson essentials of pediatrics. 8th ed. Philadelphia: Saunders Elsevier; 2019. Chapters 197–204.

    Google Scholar 

  2. Salter RB, Harris WR. Injuries involving the epiphyseal plate. J Bone Joint Surg Am. 1963;45A:587–622.

    Google Scholar 

  3. Tandberg D, Sherbring M. A mnemonic for the Salter-Harris classification. Am J Emerg Med. 1999;17(3):321.

    CAS  PubMed  Google Scholar 

  4. Mencio GA, Frick SL. Skeletal growth, development, and healing as related to pediatric trauma. In: Green’s skeletal trauma in children. 6th ed. Philadelphia: Elsevier, Inc.; 2020.

    Google Scholar 

  5. Randsborg PH, Sivertsen EA. Distal radius fractures in children: substantial difference in stability between buckle and greenstick fractures. Acta Orthop. 2009;80:585.

    PubMed  PubMed Central  Google Scholar 

  6. Waters PM, Bae DS. Fractures of the distal radius and ulna. In: Beaty JH, Kasser JR, editors. Rockwood and Wilkin’s fractures in children. 7th ed. Philadelphia: Lippincott Williams & Wilkins; 2010. p. 292.

    Google Scholar 

  7. Micheli LJ. The traction apophysitises. Clin Sports Med. 1987;6:389.

    CAS  PubMed  Google Scholar 

  8. Boden BP, Osbahr DC. High-risk stress fractures: evaluation and treatment. J Am Acad Orthop Surg. 2000;8:344.

    CAS  PubMed  Google Scholar 

  9. Wilson JC, Rodenburg RE. Apophysitis of the lower extremities. Contemp Pediatr. 2011;28:38–46.

    Google Scholar 

  10. Medlar RC, Lyne ED. Sinding-Larsen-Johansson disease. Its etiology and natural history. J Bone Joint Surg Am. 1978;60:1113–6.

    CAS  PubMed  Google Scholar 

  11. Atanda A Jr, Shah SA, O’Brien K. Osteochondrosis: common causes of pain in growing bones. Am Fam Physician. 2011;83(3):285–91.

    PubMed  Google Scholar 

  12. Bloom OJ, Mackler L, Barbee J. Clinical inquiries. What is the best treatment for Osgood-Schlatter disease? J Fam Pract. 2004;53:153.

    PubMed  Google Scholar 

  13. Topol G, Podesta L, Reeves K, Raya M, Fullerton B, Yeh H. Hyperosmolar dextrose injection for recalcitrant Osgood-Schlatter disease. Pediatrics. 2011;128(5):1121–8.

    Google Scholar 

  14. Sarwark J. Essentials of musculoskeletal care. 4th ed. American Academy of Orthopaedic Surgeons: Rosemont; 2011.

    Google Scholar 

  15. Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Rodriguez-Sanz D. Static and dynamic plantar pressures in children with and without sever disease: a case-control study. Phys Ther. 2014;94(6):818–26. https://doi.org/10.2522/ptj.20120164. Epub 2014 Jan 30.

    Article  PubMed  Google Scholar 

  16. Wall EJ, Vourazeris J, Myer GD, et al. The healing potential of stable juvenile osteochondritis dissecans knee lesions. J Bone Joint Surg Am. 2008;90:2655–64.

    PubMed  PubMed Central  Google Scholar 

  17. Morandi G, Maines E, Sandri M, Gaudino R, Boner A, Antoiazzi F. Significant association among growing pains, vitamin D supplementation, and bone mineral status: results from a pilot cohort study. J Bone Miner Metab. 2015;33(2):201–6. Epub 2014 Mar 15. Accessed 19 Jan 2015.

    CAS  PubMed  Google Scholar 

  18. Hu SS, Tribus CB, Diab M, Ghanayem AJ. Spondylolisthesis and spondylolysis. J Bone Joint Surg Am. 2008;90:656.

    PubMed  Google Scholar 

  19. Phalen GS, Dickson JA. Spondylolisthesis and tight hamstrings. J Bone Joint Surg Am. 1961;43:505–12.

    Google Scholar 

  20. Bracker M, May T, Buller J, Wooten W. Musculoskeletal problems of children. In: Taylor R, Daid A, Fields S, Phillips D, Scherger J, editors. Family medicine: principles and practice. 6th ed. New York: Springer; 2002. p. 188–202.

    Google Scholar 

  21. Daniels JM, Fields KB, Grayzel J. Spondylolysis and spondylolisthesis in child and adolescent athletes: Management. UpToDate. Literature review current through: Jan 2020. | This topic last updated: Nov 07, 2019.

    Google Scholar 

  22. Ludwig K, Nierhoff C. Scoliosis. In: Baert A, editor. Encyclopedia of diagnostic imaging. Berlin/Heidelberg: Springer; 2008. 2011-01-31 23:00:00 UTC. http://www.springerreference.com.

    Google Scholar 

  23. Lonstein JE. Adolescent idiopathic scoliosis. Lancet. 1994;344:1407.

    CAS  PubMed  Google Scholar 

  24. Reamy BV, Slakey JB. Adolescent idiopathic scoliosis: review and current concepts. Am Fam Physician. 2001;64(1):116.

    Google Scholar 

  25. Lowe TG. Scheuermann’s disease. Orthop Clin North Am. 1999;30:475.

    CAS  PubMed  Google Scholar 

  26. Singer KM, Roy SP. Osteochondrosis of the humeral capitellum. Am J Sports Med. 1984;12:351–60.

    CAS  PubMed  Google Scholar 

  27. Schunk JE. Radial head subluxation: epidemiology and treatment of 87 episodes. Ann Emerg Med. 1990;19:1019.

    CAS  PubMed  Google Scholar 

  28. Macias CG, Bothner J, Wiebe R. A comparison of supination/flexion to hyperpronation in the reduction of radial head subluxations. Pediatrics. 1998;102:e10.

    CAS  PubMed  Google Scholar 

  29. Pring M, Wenger D, Rang M. Elbow-proximal radius and ulna. In: Rang M, Wenger DR, Pring ME, editors. Rang’s children’s fractures. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2005. p. 119.

    Google Scholar 

  30. Glass SM. Abnormal physical findings. In: Thureen PJ, et al., editors. Assessment and care of the well newborn. Philadelphia: WB Saunders; 1999. p. 206.

    Google Scholar 

  31. Scherl SA. Common lower extremity problems in children. Pediatr Rev. 2004;25:52.

    PubMed  Google Scholar 

  32. Fabray G, MacEwen GD, Shands AR Jr. Torsion of the femur: a follow-up study in normal and abnormal conditions. J Bone Joint Surg. 1973;55A:1726–38.

    Google Scholar 

  33. Altinel L, Kose KC, Aksoy Y, et al. Hip rotation degrees, intoeing problem, and sitting habits in nursery school children: an analysis of 1,134 cases. Acta Orthop Traumatol Turc. 2007;41:190.

    PubMed  Google Scholar 

  34. Svenningsen S, Apalset K, Terjesen T, et al. Regression of femoral anteversion. A prospective study of intoeing children. Acta Orthop Scand. 1989;60:170.

    CAS  PubMed  Google Scholar 

  35. Greene WB. Genu varum and genu valgum in children: differential diagnosis and guidelines for evaluation. Compr Ther. 1996;22:22–9.

    CAS  PubMed  Google Scholar 

  36. Lipton GE, Guille JT, Altiok H, et al. A reappraisal of the Ortolani examination in children with developmental dysplasia of the hip. J Pediatr Orthop. 2007;27:27–31.

    PubMed  Google Scholar 

  37. Castelein RM, Korte J. Limited hip abduction in the infant. J Pediatr Orthop. 2001;21:668.

    CAS  PubMed  Google Scholar 

  38. American Institute of Ultrasound in Medicine, American College of Radiology. AIUM practice guideline for the performance of an ultrasound examination for detection and assessment of developmental dysplasia of the hip. J Ultrasound Med. 2009;28:114–9.

    Google Scholar 

  39. Kocher MS, Zurakowski D, Kasser JR. Differentiating between septic arthritis and transient synovitis of the hip in children: an evidence-based clinical prediction algorithm. J Bone Joint Surg Am. 1999;81(12):1662–70.

    CAS  PubMed  Google Scholar 

  40. Haueisen DC, Weiner DS, Weiner SD. The characterization of “transient synovitis of the hip” in children. J Pediatr Orthop. 1986;6:11–7.

    CAS  PubMed  Google Scholar 

  41. Tachdijan MO. Slipped capital femoral epiphysis. In: Clinical pediatric orthopedics: the art of diagnosis and principles of management. Stamford: Appleton and Lange; 1997. p. 223.

    Google Scholar 

  42. Lee M. Hip pathology. In: Elzouki A, editor. Textbook of clinical pediatrics. Berlin/Heidelberg: Springer; 2012. 2012-05-03 10:47:51 UTC. Springer reference. https://link.springer.com/referenceworkentry/10.1007%2F978-3-642-02202-9_409

  43. Oestreich A. Osteonecrosis, childhood. In: Baert A, editor. Encyclopedia of diagnostic imaging. Berlin/Heidelberg Springer; 2008. 2011-01-31 23:00:00 UTC. Springer reference. https://link.springer.com/referenceworkentry/10.1007%2F978-3-540-35280-8_1829

  44. Canavese F, Dimeglio A. Perthes’ disease: prognosis in children under six years of age. J Bone Joint Surg (Br). 2008;90:940–5.

    CAS  Google Scholar 

  45. Bridgens J, Kiely N. Current management of clubfoot (congenital talipesequinovarus). BMJ. 2010;340:c355.

    PubMed  Google Scholar 

  46. O’Sullivan SB, Fulk GD, STAT!Ref, Teton Data Systems. Physical rehabilitation. 6th ed. Philadelphia: F.A. Davis Co.; 2014.

    Google Scholar 

  47. Cuccurullo S. STAT!Ref, Teton Data Systems. Physical medicine and rehabilitation board review. 2nd ed. New York: Demos Medical Publishing; 2010.

    Google Scholar 

  48. Binek R, Levinsohn EM, Bersani F, Rubenstein H. Freiberg disease complicating unrelated trauma. Orthopedics. 1988;11:753.

    CAS  PubMed  Google Scholar 

  49. DiGiovanni CW, Patel A, Calfee R, et al. Osteonecrosis in the foot. J Am Acad Orthop Surg. 2007;15:208–17.

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Mount Sinai Hospital, Chicago, IL, USA

    Trista Kleppin

  2. Department of Family and Community Medicine, Mount Sinai Hospital, Chicago, IL, USA

    Teresa Cvengros

  3. Department of Family Medicine, Mayo Clinic, Jacksonville, FL, USA

    Christine Q. Nguyen, Carolina S. Paredes-Molina & George G. A. Pujalte

Authors
  1. Christine Q. Nguyen
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  2. Carolina S. Paredes-Molina
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  3. Trista Kleppin
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  4. Teresa Cvengros
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  5. George G. A. Pujalte
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Corresponding author

Correspondence to George G. A. Pujalte .

Editor information

Editors and Affiliations

  1. Department of Family Medicine, University of Nebraska Medical Center, Omaha, NE, USA

    Paul M. Paulman

  2. Department of Family and Community Medicine, Eastern Virginia Medical School, Norfolk, VA, USA

    Robert B. Taylor

  3. Department of Family Medicine, University of Nebraska Medical Center, Omaha, NE, USA

    Audrey A. Paulman

  4. Department of Family Medicine, Creighton University School of Medicine, Omaha, NE, USA

    Laeth S. Nasir

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Nguyen, C.Q., Paredes-Molina, C.S., Kleppin, T., Cvengros, T., Pujalte, G.G.A. (2022). Musculoskeletal Problems of Children. In: Paulman, P.M., Taylor, R.B., Paulman, A.A., Nasir, L.S. (eds) Family Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-54441-6_20

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  • DOI: https://doi.org/10.1007/978-3-030-54441-6_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-54440-9

  • Online ISBN: 978-3-030-54441-6

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