Clinical examination and imaging resources in children and adolescent back pain.

IF 1.3 4区 医学 Q3 ORTHOPEDICS Journal of Childrens Orthopaedics Pub Date : 2023-11-29 eCollection Date: 2023-12-01 DOI:10.1177/18632521231215860
Ana León-Domínguez, Rocío Cansino-Román, Jose M Martínez-Salas, David M Farrington
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Abstract

Back pain is a relatively common complaint in children and adolescents. The pediatric patient presenting with back pain can often be challenging, and there are many well-known organic diagnoses that should not be missed. In younger children, an organic cause of back pain can often be found. However, back pain in older children and adolescents is often "non-specific." The differential diagnosis of back pain in children includes neoplasms, developmental, and inflammatory conditions. Basic steps should include an in-depth anamnesis, a systematic physical examination, and standard spine radiographs (anteroposterior and lateral). Nevertheless, advanced diagnostic imaging and laboratory studies should be included when indicated to avoid missing or delaying a serious diagnosis. If other types of imaging tests are necessary (magnetic resonance imaging, computed tomography, bone scan, or single photon emission computed tomography), they should be guided by diagnostic suspicion.

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儿童和青少年腰痛的临床检查和影像学资源。
背部疼痛是儿童和青少年中比较常见的主诉。小儿患者的背部疼痛往往是具有挑战性的,有许多众所周知的有机诊断不应该错过。在年幼的儿童中,经常可以发现背部疼痛的器质性原因。然而,年龄较大的儿童和青少年的背痛通常是“非特异性的”。儿童背痛的鉴别诊断包括肿瘤、发育和炎症。基本步骤应包括深入的记忆、系统的体格检查和标准的脊柱x线片(前后位和侧位)。然而,先进的诊断成像和实验室研究应包括当指,以避免遗漏或延误严重的诊断。如果需要其他类型的影像学检查(磁共振成像、计算机断层扫描、骨扫描或单光子发射计算机断层扫描),则应以诊断怀疑为指导。
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来源期刊
Journal of Childrens Orthopaedics
Journal of Childrens Orthopaedics Medicine-Orthopedics and Sports Medicine
CiteScore
2.70
自引率
14.30%
发文量
61
审稿时长
23 weeks
期刊介绍: Aims & Scope The Journal of Children’s Orthopaedics is the official journal of the European Paediatric Orthopaedic Society (EPOS) and is published by The British Editorial Society of Bone & Joint Surgery. It provides a forum for the advancement of the knowledge and education in paediatric orthopaedics and traumatology across geographical borders. It advocates an increased worldwide involvement in preventing and treating musculoskeletal diseases in children and adolescents. The journal publishes high quality, peer-reviewed articles that focus on clinical practice, diagnosis and treatment of disorders unique to paediatric orthopaedics, as well as on basic and applied research. It aims to help physicians stay abreast of the latest and ever-changing developments in the field of paediatric orthopaedics and traumatology. The journal welcomes original contributions submitted exclusively for review to the journal. This continuously published online journal is fully open access and will publish one print issue each year to coincide with the EPOS Annual Congress, featuring the meeting’s abstracts.
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