Abstract | INTRODUCTION: The aim of this study was to identify the commonest referrals to a paediatric orthopaedic outpatient clinic and, therefore, to be able to improve the paediatric residency program in managing musculoskeletal problems. MATERIAL AND METHODS: Demographic data, referrals and final diagnosis were collected prospectively on all patients that were evaluated in a paediatric orthopaedic outpatient clinic. RESULTS: The majority of referrals were to evaluate musculoskeletal pain (37%), foot deformity (20%), spine deformity (15%), walking pattern (11%), alignment of the lower limbs (4%), and development of the hip (4%). A normal physical examination or a normal variation was observed in 42% of patients. A mild condition was observed in 17% of patients that should have only been referred to a paediatric orthopaedic clinic after failing to resolve pain with anti-inflammatories or physiotherapy. A mild deformity that only needed treatment if it became symptomatic was seen in 8% of patients. CONCLUSIONS: The majority of referrals were due to a normal variation or mild conditions that only required symptomatic treatment. Paediatric residency programs do not reflect the prevalence of musculoskeletal conditions in clinical practice.
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Authors | L Moraleda, M Castellote |
Journal | Anales de pediatria (Barcelona, Spain : 2003)
(An Pediatr (Barc))
Vol. 83
Issue 2
Pg. 89-93
(Aug 2015)
ISSN: 1695-9531 [Electronic] Spain |
Vernacular Title | Motivos de derivación a una consulta ambulatoria de Traumatología Infantil. |
PMID | 25547259
(Publication Type: Journal Article, Multicenter Study)
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Copyright | Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved. |
Topics |
- Adolescent
- Ambulatory Care Facilities
- Child
- Child, Preschool
- Female
- Humans
- Infant
- Male
- Musculoskeletal Diseases
(diagnosis, therapy)
- Orthopedics
- Pediatrics
- Prospective Studies
- Referral and Consultation
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