Huemer C
Abteilung für Kinder- und Jugendheilkunde, Landeskrankenhaus Bregenz und Ostschweizer Kinderspital St. Gallen.
Ther Umsch. 2012 Aug;69(8):479-82. doi: 10.1024/0040-5930/a000318.
Musculoskeletal symptoms in children are among the most frequent presenting symptoms. Besides traumatic etiology - which accounts for most of the symptoms- more than 100 differential diagnoses need to be considered in the pediatric patients. Therefore children with limp pain or gait abnormalities always require thorough assessment for early exclusion of potentially threatening diseases e.g. leukemia, chronic metabolic or inflammatory diseases. Pediatric patients with arthralgia or arthritis therefore represent a population of risk which should always require referral to the experienced pediatrician whenever the diagnosis or condition of the child remains uncertain.
儿童肌肉骨骼症状是最常见的就诊症状之一。除了创伤性病因（这是大多数症状的原因）外，儿科患者还需要考虑100多种鉴别诊断。因此，有跛行疼痛或步态异常的儿童总是需要进行全面评估，以便早期排除潜在的威胁性疾病，如白血病、慢性代谢或炎症性疾病。因此，有关节痛或关节炎的儿科患者属于高危人群，每当儿童的诊断或病情仍不确定时，都应转诊给经验丰富的儿科医生。
