Paediatric orthopaedic examination is an art, and the success of the consultation relies on the surgeon’s ability to communicate with the parents and the child. Most children who are referred do not require surgery, and time is spent on reassuring the anxious parents or guardian of the normal variations in the development of the child. Quite often, observing the child during the consultation with the parents and a thorough general examination give the clues in making a clinical diagnosis.
The paediatric consulting area should be child-friendly, with toys and ample space for the child to play and for the surgeon to observe. Gaining the confidence of the child is crucial, as well as being warm and patient with the parents who are anxious and concerned. The initial interview should include introductions, as it is important to know the accompanying adults apart from the parents. They could be carers, guardians, grandparents or physiotherapists, and valuable information could be gained. History should be gained from the parents as well as the child, for, not infrequently, it could be conflicting. Clinical history skilfully obtained is the key to diagnosis, and a methodical examination of the child depending on the symptoms and age confirms your initial impression.
To save this book to your Kindle, first ensure firstname.lastname@example.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.