Abstract
References
- Goodman JE, McGrath PJ. The epidemiology of pain in children and adolescents: a review. Pain 1991: 46: 247-64.
- Symmons DP, Jones M, Osborne J, Sills J, Southwood TR, Woo P. Pediatric rheumatology in the United Kingdom: data from the British Pediatric Rheumatology Group National Diagnostic Register. J Rheum 1996; 23: 1975-80.
- Foster H, Khawaja K. When to request a paediatric rheumatology opinion. Current Paediatrics 2005; 15: 1-8.
- Kasapçopur Ö. Çocukluk çağı romatizmal hastalıklarına tanılandırıcı yaklaşım. İ.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Etkinlikleri, Sempozyum dizisi 2003; 34: 43- 50.
- Kasapçopur Ö, Arısoy N. Çocukluk Çağı Romatizmal Hastalıklarında Ayırıcı Tanı. Turkiye Klinikleri J Pediatr Sci 2008, 4: 7-11.
- Bostan Ö. Çocuklarda Eklem Şikâyetlerine Yaklaşım. Güncel Pediatri 2004; 2: 126- 33.
- Peterson H. Growing pains. Pediatr Clin North Am 1986; 33: 1365.
- Cassidy J.T, Petty R.E. Musculoskeletal Pain Syndromes Of Nonrheumatic Origin. In: Pediatric Rheumatology. 3rd edition. Pennsylvania: Saunders Company, 1995; pp: 108-32.
- Duchamp M. Maladies de la croissance. In: Levrault FG, editor. Mémoires de médecine practique. Paris: Jean-Frédéric Lobstein; 1823.
- Evans AM, Scutter SD, Lang LG, BR. Dansie. “Growing pains” in young children: A study of the profile, experiences and quality of life issues of four- to six-year-old children with recurrent leg pain. Foot 2006; 16: 120-4.
- Bennie PB. Growing pains. Arch Pediatr 1894; 11: 337-47.
- Seham M, Hilbert EH. Muscular rheumatism in childhood. Am J Dis Child 1933; 46: 826-33.
- Hawksley JC. The nature of growing pains and their relation to rheumatism in children and adolescents. BMJ 1939; 1: 155-7.
- Al Khattat A, Campell J. Recurrent limb pain in childhood (“Growing pains”). Foot 2000; 10: 117-23.
- Petersen HA. Leg aches. Pediatr Clin North Am 1977; 24: 731-6.
- Abu-Arafeh I, Russell G. Recurrent limb pain in schoolchildren. Arch Dis Child 1996; 74: 336-9.
- Williams MF. Rheumatic conditions in school children. Lancet 1928; 211: 720-1.
- Evans AM, Scutter SD. Prevalence of “Growing Pains” in young children. J Pediatr 2004; 145: 255-8.
Abstract
Özet
Amaç. Çocuklarda alt ekstremite ağrısına neden olan etiyolojilerin saptanması ve büyüme ağrılarının etiyolojideki yerinin belirlenmesi amaçlandı. Yöntem. Kasım- Nisan 2011 tarihleri arasında Ortopedi ve Travmatoloji, Çocuk ve Aile Hekimliği polikliniklerine alt ekstremite ağrısı şikayeti ile başvuran 3-15 yaş grubundaki çocuk hastaların demografik ve klinik özellikleri, tanılarına ait bilgiler ve tetkik sonuçları poliklinik dosya kayıtlarından geriye dönük olarak elde edildi. Bulgular. Alt ekstremite ağrısı ile başvuran 92 hastanın 41’i (%44,5) kız ve 51’i (%55,5) erkekti. Yaşları 3- 15 yaş arasında değişmekteydi (ortalama 10,1 yaş). Hastaların fizik muayene ve laboratuvar tetkikleri sonucunda; 32’sinde (%35) ortopedik bozukluk, 31’inde (%33,6) üst solunum yolu enfeksiyonuna (ÜSYE) bağlı reaktif artrit, 21’inde (%22,8) travma ve 8 (%8,6) olguda diğer sebepler saptandı. Tekrarlayan ağrıları olan 10 (%10,8) hasta, büyüme ağrısı açısından takibe alınmış. Sonuç. Çocuklarda eklem şikâyeti sık karşılaşılan bir durum olup, büyüme ağrıları gibi inflamatuar olmayan nedenler kas-eklem ağrısının en sık sebebidir. Ancak romatizmal hastalıklar, enfeksiyonlar ve maligniteler gibi organik bütün nedenler mutlaka dışlandıktan sonra büyüme ağrısı tanısının konulması gerekir.
Anahtar sözcükler: Eklem ağrısı, çocuk, büyüme ağrısı, ekstremite ağrısı
Abstract
Aim. We aimed to determine the etiologies causing lower extremity pain in children and to identify the place of growth pain in the etiology. Method. The demographic and clinical characteristics, information about their diagnoses and the test results of the pediatric patients between 3-15 years of ages, admitted to pediatric, orthopedics and traumatology, and family medicine polyclinics with complaining of lower extremity pain from November to April 2011 were screened retrospectively from outpatient records. Results. Of 92 pediatric patients with lower extremity pain, 41 (44.5%) patients were female and 51 (55.5%) were male. Their ages ranged from 3 to 15 years (mean 10.1 years). As a result of physical examination and laboratory investigations of the patients, orthopedic disorders were diagnosed in 32 (35%) patients, reactive arthritis due to upper respiratory tract infections (URTI) in 31 (33.6%), trauma in 21 (22.8%) and other causes in 8 (8.6%) patients. 10 (10.8%) patients with recurrent pain were followed up for growth pain. Conclusion. Joint complaint is a common condition in children and non-inflammatory causes, such as growth pain, is the most common cause of muscle-joint pain. However, a diagnosis of growth pain should be established after the exclusion of all organic causes, such as rheumatic disorders, infections and malignancies.
Keywords: Arthralgia, growth pain, extremity painKeywords
References
- Goodman JE, McGrath PJ. The epidemiology of pain in children and adolescents: a review. Pain 1991: 46: 247-64.
- Symmons DP, Jones M, Osborne J, Sills J, Southwood TR, Woo P. Pediatric rheumatology in the United Kingdom: data from the British Pediatric Rheumatology Group National Diagnostic Register. J Rheum 1996; 23: 1975-80.
- Foster H, Khawaja K. When to request a paediatric rheumatology opinion. Current Paediatrics 2005; 15: 1-8.
- Kasapçopur Ö. Çocukluk çağı romatizmal hastalıklarına tanılandırıcı yaklaşım. İ.Ü. Cerrahpaşa Tıp Fakültesi Sürekli Tıp Etkinlikleri, Sempozyum dizisi 2003; 34: 43- 50.
- Kasapçopur Ö, Arısoy N. Çocukluk Çağı Romatizmal Hastalıklarında Ayırıcı Tanı. Turkiye Klinikleri J Pediatr Sci 2008, 4: 7-11.
- Bostan Ö. Çocuklarda Eklem Şikâyetlerine Yaklaşım. Güncel Pediatri 2004; 2: 126- 33.
- Peterson H. Growing pains. Pediatr Clin North Am 1986; 33: 1365.
- Cassidy J.T, Petty R.E. Musculoskeletal Pain Syndromes Of Nonrheumatic Origin. In: Pediatric Rheumatology. 3rd edition. Pennsylvania: Saunders Company, 1995; pp: 108-32.
- Duchamp M. Maladies de la croissance. In: Levrault FG, editor. Mémoires de médecine practique. Paris: Jean-Frédéric Lobstein; 1823.
- Evans AM, Scutter SD, Lang LG, BR. Dansie. “Growing pains” in young children: A study of the profile, experiences and quality of life issues of four- to six-year-old children with recurrent leg pain. Foot 2006; 16: 120-4.
- Bennie PB. Growing pains. Arch Pediatr 1894; 11: 337-47.
- Seham M, Hilbert EH. Muscular rheumatism in childhood. Am J Dis Child 1933; 46: 826-33.
- Hawksley JC. The nature of growing pains and their relation to rheumatism in children and adolescents. BMJ 1939; 1: 155-7.
- Al Khattat A, Campell J. Recurrent limb pain in childhood (“Growing pains”). Foot 2000; 10: 117-23.
- Petersen HA. Leg aches. Pediatr Clin North Am 1977; 24: 731-6.
- Abu-Arafeh I, Russell G. Recurrent limb pain in schoolchildren. Arch Dis Child 1996; 74: 336-9.
- Williams MF. Rheumatic conditions in school children. Lancet 1928; 211: 720-1.
- Evans AM, Scutter SD. Prevalence of “Growing Pains” in young children. J Pediatr 2004; 145: 255-8.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Medical Science Research Articles |
| Authors | |
| Publication Date | March 10, 2012 |
| Published in Issue | Year 2012Volume: 34 Issue: 4 |