Pediatric Orthopedics For Primary Healthcare: Evidence Based Practice
Pediatric orthopedics is a branch of medicine that deals with the diagnosis and treatment of musculoskeletal disorders in children. These disorders can range from simple fractures to complex congenital deformities. The primary care physician (PCP) plays a vital role in the early detection and management of these conditions. This article will provide an overview of pediatric orthopedics for the PCP, including common presenting complaints, diagnostic tests, and treatment options.
Common Presenting Complaints
The most common presenting complaints in pediatric orthopedics include:
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* Pain * Swelling * Deformity * Limited range of motion * Gait abnormalities
These complaints can be caused by a variety of underlying conditions, including:
* Fractures * Sprains * Strains * Dislocations * Congenital deformities * Developmental disorders * Neuromuscular disorders
Diagnostic Tests
The PCP can use a variety of diagnostic tests to help identify the underlying cause of a child's musculoskeletal complaint. These tests may include:
* Physical examination * X-rays * MRI scans * CT scans * Ultrasound * Electromyography (EMG) * Nerve conduction studies
Treatment Options
The treatment of pediatric musculoskeletal disorders depends on the underlying cause and severity of the condition. Treatment options may include:
* Nonsurgical treatment * Surgical treatment * Rehabilitation
Nonsurgical treatment options may include:
* Rest * Ice * Compression * Elevation * Medications * Physical therapy
Surgical treatment options may include:
* Fracture repair * Joint replacement * Soft tissue repair * Deformity correction
Rehabilitation is an important part of the treatment of pediatric musculoskeletal disorders. Rehabilitation can help to improve range of motion, strength, and function.
Evidence-Based Practice
Evidence-based practice (EBP) is an approach to healthcare that uses the best available evidence to make decisions about patient care. EBP involves using research findings, clinical expertise, and patient preferences to make decisions about the most appropriate care for a given patient.
There is a growing body of evidence to support the use of EBP in pediatric orthopedics. For example, a study published in the journal Pediatrics found that the use of EBP reduced the number of unnecessary surgeries in children with musculoskeletal disorders.
The PCP can use EBP to make decisions about the best care for children with musculoskeletal disorders. By using the best available evidence, the PCP can help to ensure that children receive the most appropriate care and have the best possible outcomes.
Pediatric orthopedics is a complex and challenging field of medicine. The PCP plays a vital role in the early detection and management of musculoskeletal disorders in children. By using evidence-based practice, the PCP can help to ensure that children receive the most appropriate care and have the best possible outcomes.
References
* American Academy of Pediatrics. (2019). Orthopedic Conditions in Children and Adolescents. Elk Grove Village, IL: American Academy of Pediatrics. * American Academy of Orthopaedic Surgeons. (2018). Evidence-Based Orthopaedics: A Guide for Clinicians. Rosemont, IL: American Academy of Orthopaedic Surgeons. * Edited by: Michael A. Sullivan, MD, FAAP; Associate Editors: William J. Harmsen, MD, MPH; Cheryl A. Miskelly, MD, PhD, FAAP; Guy S. Hubbard, PhD, MPH * Pediatrics. 2011;128(1):1
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Language | : | English |
File size | : | 104949 KB |
Text-to-Speech | : | Enabled |
Screen Reader | : | Supported |
Enhanced typesetting | : | Enabled |
Print length | : | 803 pages |
Paperback | : | 376 pages |
Item Weight | : | 2.16 pounds |
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Language | : | English |
File size | : | 104949 KB |
Text-to-Speech | : | Enabled |
Screen Reader | : | Supported |
Enhanced typesetting | : | Enabled |
Print length | : | 803 pages |
Paperback | : | 376 pages |
Item Weight | : | 2.16 pounds |