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Regional musculoskeletal symptoms: making a working diagnosis 

Regional musculoskeletal symptoms: making a working diagnosis
Chapter:
Regional musculoskeletal symptoms: making a working diagnosis
Author(s):

Gavin Clunie

, Nick Wilkinson

, Elena Nikiphorou

, and Deepak R. Jadon

DOI:
10.1093/med/9780198728252.003.0003
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date: 13 April 2021

This extensive chapter facilitates a focused regional musculoskeletal assessment with additional detail specific to children and adolescents. Taking each region or joint in turn, the reader is supported with (1) tables of differential diagnoses; (2) detailed descriptions of anatomy including reference ranges; (3) lines of enquiry that identify work- or sport-related injury; (4) examination that recognizes radiation, neuropathy, impingement, myopathy, and stress; (5) functional assessment; and (6) specific tests. In children, there is an additional focus on developmental or normal variants and dysplasia. The chapter also draws attention to common errors in assessment and mimics, the relative merits of investigation, and, when not covered elsewhere, treatments of joint-specific problems. The chapter is thorough, although not exhaustive, and supplements general enquiry.

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