Pediatric Orthopedics Symptoms, Differential Diagnosis, Supplementa

This book presents the most common site-specific pediatric orthopedic problems seen in clinical practice. Detailed discussions of disorders of the chest wall, neck, back, pelvic, upper- and lower limb, leg length discrepancy, abnormal gate, congenital def

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Pediatric Orthopedics Symptoms, Differential Diagnosis, Supplementary Assessment and Treatment

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Pediatric Orthopedics

Jan Douwes Visser

Pediatric Orthopedics Symptoms, Differential Diagnosis, Supplementary Assessment and Treatment

Jan Douwes Visser Groningen The Netherlands

Word processing: Hendrika Schotanus and Yvonne Werink. Translation: Prof. Peter H. Robinson, MD., Ph.D. Drawings: Douwe Buiter ISBN 978-3-319-40176-8    ISBN 978-3-319-40178-2 (eBook) DOI 10.1007/978-3-319-40178-2 Library of Congress Control Number: 2016960534 © Springer International Publishing 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

In practice, we do not tend to think in terms of differential diagnosis. We often consider the most probable diagnosis based on the patient’s complaints. Only when the most probable diagnosis is not supported by physical examination and/or supplementary tests, do we further consider the other possibilities. In this book, Pediatric Orthopedics: Symptoms, Differential Diagnosis, Supplementary Assessment and Treatment, we are working towards a system for differential diagnosis based on the principal complaints and findings. In some cases there are more than one different kinds of complaint. As an example, in Osgood-Schlatter, there are complaints of pain and swelling. In those cases we consider the most preveland complaint which in OsgoodSchlatter is pain. In other cases, for instance a meniscal tear, there may be several individual complaints or a combination of these such as pain medially or laterally combined with limited extension and/or swelling. A torn meniscus appears in several differential diagnoses. A