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[A Paediatric Orthopaedic outpatient clinic referral patterns].

AbstractINTRODUCTION:
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.
AuthorsL Moraleda, M Castellote
JournalAnales de pediatria (Barcelona, Spain : 2003) (An Pediatr (Barc)) Vol. 83 Issue 2 Pg. 89-93 (Aug 2015) ISSN: 1695-9531 [Electronic] Spain
Vernacular TitleMotivos de derivación a una consulta ambulatoria de Traumatología Infantil.
PMID25547259 (Publication Type: Journal Article, Multicenter Study)
CopyrightCopyright © 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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