Jansson Annette, von Liebe Alessandro
Dr. von Haunersches Kinderspital, München.
MMW Fortschr Med. 2007 Apr 19;149(16):38-40.
The differential diagnosis of arthralgia in childhood ranges from growing pains through rheumatic diseases, infections, orthopedic and hemostasiological disorders to oncological diseases. The situation can be clarified by obtaining a specific history and performing a physical examination, during which particular attention is paid to atypical movement patterns, differences in leg length and circumference and the positioning of hip and anklejoints, and by obtaining ultrasonographic data and x-ray films. Depending on the diagnosis, pain is treated by orthopedic, anti-inflammatory or antibiotic means, where necessary supported by physical measures/physiotherapy.
儿童关节痛的鉴别诊断范围广泛，从生长痛到风湿性疾病、感染、骨科及血液学疾病，再到肿瘤性疾病。通过获取详细病史、进行体格检查（在此过程中特别留意非典型运动模式、腿长和周长差异以及髋关节和踝关节的位置）以及获取超声数据和X光片，可明确病情。根据诊断结果，疼痛可采用骨科、抗炎或抗生素治疗手段，必要时辅以物理措施/物理治疗。
