Smith Eve M D, Ramanan Athimalaipet V
Paediatric Rheumatology Department, Great North Children's Hospital, , Newcastle Upon Tyne, UK.
Arch Dis Child Educ Pract Ed. 2013 Dec;98(6):212-6. doi: 10.1136/archdischild-2013-303882. Epub 2013 Jul 17.
To present a structured approach for an outpatient consultation of a child with hypermobility.
Review of the literature and a description of the approach commonly adopted in a paediatric out-patient setting.
A focused history and examination is the key to reaching an appropriate differential diagnosis and planning management for children with hypermobility.
A 10-year-old child is referred to your general paediatric clinic with frequent 'cracking and clicking' of her joints and a history of intermittent aches and pains over the last 6 months.