Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Departments of Orthopaedic Surgery and Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, MO USA.
Curr Probl Pediatr Adolesc Health Care. 2020 Oct;50(10):100884. doi: 10.1016/j.cppeds.2020.100884. Epub 2020 Oct 14.
Musculoskeletal illness represents a significant portion of office visits to primary and urgent care clinicians. Despite this, little emphasis is placed on learning pediatric orthopaedics during medical school or residency. The focus of this paper is to provide a systematic approach to this general musculoskeletal physical exam and to assist in the recognition of what conditions are normal development and what conditions require observation, workup and referral to an experienced pediatric orthopaedist.
肌肉骨骼疾病在初级保健和紧急护理临床医生的就诊中占很大比例。尽管如此,在医学院或住院医师培训期间,很少强调学习儿科骨科。本文的重点是提供一种系统的方法来进行这种一般的肌肉骨骼体格检查,并帮助识别哪些情况是正常发育,哪些情况需要观察、检查,并转介给有经验的儿科骨科医生。