Children's Orthopaedic Exam

Children's orthopedic examination is an examination of the growth of children's bones and a preliminary examination of their growth and development. The causes of gait abnormalities are muscle weakness, bone and joint deformities, neuropathy, and cardiopulmonary diseases. Common typical abnormal gaits include: scissors gait, ataxia gait, swing gait, cross-threshold gait, gait gait (such as lifting limping, pain-relieving limping, gluteus iliac crest), intermittent claudication, etc. . Basic Information Specialist classification: growth and development check classification: physical examination Applicable gender: whether men and women apply fasting: not fasting Reminder: Children may be afraid of the test, and should be given comfort and guidance before and during the examination. Normal value When standing, the heights of the two shoulders are the same, the left and right chests are broadly developed, and there are no abnormal protrusions on the back without o-legs and X-legs. The gait is normal and the range of joint activity is large. Clinical significance Abnormal results: 1. Standing posture and posture: After standing, the child should observe its standing posture and body appearance from the back, front and side, and observe whether the spine and limbs are obviously deformed. Observe whether the height of the two shoulders is the same when the child is standing, whether the left and right chest widths are consistent, and whether there are abnormal protrusions on the back. 2. The gait abnormalities are caused by muscle weakness, bone and joint deformities, neuropathy, and cardiopulmonary diseases. Common typical abnormal gaits include scissor gait, ataxia gait, swing gait, cross-threshold gait, limping gait (such as lifting limping, pain-relieving limping, gluteus medius), intermittent claudication. 3. Range of joint activities: The range of active and passive activities is small. All of the above may have skeletal development problems. Children who need to be examined for abnormal skeletal development, children who are growing up. Low results may be diseases: osteochondrosis, hereditary multiple osteochondroma considerations Taboo before inspection: no special contraindications. Requirements for inspection: Children may be afraid of inspections, and should be given comfort and guidance before and during the examination. Inspection process Check the child's standing posture and posture. Observe whether the height of the two shoulders is the same when the child is standing, whether the left and right chest widths are consistent, and whether there are abnormal protrusions on the back. Observe the gait, the range of joint activity. Not suitable for the crowd Inappropriate crowd: newborn. Adverse reactions and risks May cause fear in children.

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