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The Pediatric History and Physical Examination

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The Pediatric Foot and Ankle

Abstract

With some exceptions, the history and physical examinations must be tailored to pediatric patients. The historian is usually not the patient. Specific techniques are discussed to insure reliable information. Also discussed are the chief complaint, past medical history, developmental history, family history, and systems review. The physical examination begins with vital signs, the general physical examination, and the special aspects of the lower extremity physical examination with special emphasis on range of motion evaluation. Tables are provided to cover Apgar scores, developmental milestones, temperature conversion from Celsius to Fahrenheit, definition of fever, cranial nerve examination, superficial and deep tendon reflexes, postural reflexes, and lower extremity dermatomes.

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References

  1. Apgar V. A proposal for a new method of evaluation of the newborn infant. Curr Res Anesthesiol. 1953;32:260.

    CAS  Google Scholar 

  2. Ben-Menachem Y, Butlet JE. Arteriography of the foot in congenital deformities. J Bone Joint Surg. 1974;56A:1625–30.

    Article  Google Scholar 

  3. Greider TD, Gerson P, Donovan MM. Arteriography in clubfoot. J Bone Joint Surg. 1982;64A:837–40.

    Article  Google Scholar 

  4. Dobbs MB, Gordon JE, Schoenecker PL. Absent posterior tibial artery associated with idiopathic clubfoot. A report of two cases. J Bone Joint Surg. 2004;86A:599–602.

    Article  Google Scholar 

  5. Hootnick DR, Levinsohn EM, Crider RJ, Packard DS. Congenital arterial malformations associated with clubfoot. A report of two cases. Clin Orthop Relat Res. 1982;167:160–3.

    Google Scholar 

  6. Katz DA, Albanese EL, Levinsohn EM, Hootnick DR, Packard DS, Grant WD, et al. Pulse color-flow Doppler analysis of arterial deficiency in idiopathic clubfoot. J Pediatr Orthop. 2003;23:84–7.

    PubMed  Google Scholar 

  7. Levinsohn EM, Hootnick DR, Packard DS. Consistent arterial abnormalities associated with a variety of congenital malformations of the lower limb. Invest Radiol. 1991;26:364–73.

    Article  CAS  Google Scholar 

  8. Southerland DH. Gait disorders in childhood and adolescence. Baltimore: Williams and Wilkins; 1984.

    Google Scholar 

  9. Silfverskiold N. Reduction of the uncrossed two-joints muscles of the leg to one-joint muscles in spastic conditions. Acta Chir Scand. 1923;56:315–30.

    Google Scholar 

  10. Bouchard R, Meeder PJ, Krug F, Libicher M. Evaluation of tibial torsion: comparison of clinical methods and computed tomography. Rofo. 2004;176:127–1284.

    Article  Google Scholar 

  11. Clementz BG. Assessment of tibial torsion and rotational deformity with a new fluoroscopic technique. Clin Orthop Relat Res. 1989;254:199–209.

    Google Scholar 

  12. Eckhoff DG, Johnson KK. Three-dimensional computed tomography reconstruction of tibial torsion. Clin Orthop Relat Res. 1994;302:42–6.

    Google Scholar 

  13. Güven M, Akman B, Ünay K, Özturan E, Çakıcı H, Eren A. A new radiographic measurement method for evaluation of tibial torsion: a pilot study in adults. Clin Orthop Relat Res. 2009;46(7):1807–12.

    Article  Google Scholar 

  14. Hudson D, Roger T, Richards J. Ultrasound measurements of torsion in the tibia and femur. J Bone Joint Surg Am. 2006;88:138–43.

    PubMed  Google Scholar 

  15. Jakob RP, Haertel M, Stussi E. Tibial torsion calculated by computerized tomography and compared to other methods of measurements. J Bone Joint Surg Br. 1980;62:238–42.

    Article  Google Scholar 

  16. Kim HD, Lee DS, Eom MJ, Hwang JS, Han NM, Jo GY. Relationship between physical examinations and two-dimensional computed tomographic findings in children with intoeing gait. Ann Rehabil Med. 2011;35(4):491–8.

    Article  Google Scholar 

  17. Muhamad AR, Freitas JM, Bomar JD, Dwek J, Hosalkar HS. CT and MRI lower extremity torsional profile studies: measurement reproducibility. J Child Orthop. 2012;6(5):391–6.

    Article  Google Scholar 

  18. Muhamad AR, Freitas JM, Bomar JD, Dwek J, Hosalkar HS. CT and MRI lower extremity torsional profile study: measurement reproducibility. J Child Orthop. 2012;8(6):391–6.

    Article  Google Scholar 

  19. Schneider B, Laubenberger J, Jemlich S, Groenek K, Weber HM, Larger M. Measurement of femoral antetorsion and tibial torsion by magnetic resonance imaging. Br J Radiol. 1997;70:575–9.

    Article  CAS  Google Scholar 

  20. Shin S, Yoon C, Lee E, Oh M, Kim A, Park M, et al. The availability of radiological measurement of tibial torsion: three-dimensional computed tomography reconstruction. Ann Rehabil Med. 2011;35(5):673–9.

    Article  Google Scholar 

  21. Stuberg LT, Temme J, Kaplan P, Clark A, Fuchs R. Measurements of tibial torsion and thigh-foot angle using goniometry and computed tomography. Clin Orthop Relat Res. 1991;272:208–12.

    Google Scholar 

  22. Tomczak RJ, Guenther KP, Rieber A, Mergo P, Ros PR, Brambs HJ. MR imaging measurements of the femoral antetorsional angle as a new technique: comparison with CT in children and adults. Am J Roentgenol. 1997;168(3):791–4.

    Article  CAS  Google Scholar 

  23. Upadhyay SS, O’Neil T, Burwell RG, Moulton A. A new method using medical ultrasound for measuring femoral anteversion (torsion): technique and reliability. An intra-observer and inter-observer study on dried bones from human adults. J Anat. 1987;155:119–32.

    CAS  PubMed  PubMed Central  Google Scholar 

  24. Brenner D, Elliston C, Hall E, Berdon W. Estimated risks of radiation-induced fatal cancer from pediatric CT. Am J Roentgenol. 2001;176(2):289–96.

    Article  CAS  Google Scholar 

  25. Brenner DJ, Hall EJ. Computed tomography – an increasing source of radiation exposure. N Engl J Med. 2007;357(22):2277–84.

    Article  CAS  Google Scholar 

  26. Staheli LT. The prone hip extension test: a method of measuring hip flexion deformity. Clin Orthop Relat Res. 1977;123:12.

    Google Scholar 

  27. Ryder CT, Crane L. Measuring femoral anteversion: the problem and a method. J Bone Joint Surg. 1953;35-A(2):321–8.

    Article  CAS  Google Scholar 

  28. Barlow T. Early diagnosis and treatment of congenital dislocation of the hip. J Bone Joint Surg. 1962;44:292.

    Article  Google Scholar 

  29. Ortolani M. Un segno poco noto e sue importanza per la diagnosi precoce di preussssasione congenita dell’anca. Pediatria. 1937;45:129.

    Google Scholar 

  30. Lovett RW, Martin EG. Certain aspects of infantile paralysis with a description of a method of muscle testing. JAMA. 1916;66:729.

    Article  Google Scholar 

  31. Lovett RW. Fatigue and exercise in treatment of infantile paralysis: study of one thousand eight hundred and twenty-six cases. JAMA. 1917;69:168.

    Article  Google Scholar 

Recommended Reading

  • Herring JA. Tachdjian’s pediatric orthopaedics. 4th ed. Philadelphia: Saunders Elsevier; 2008.

    Google Scholar 

  • Hoppenfeld S. Orthopaedic neurology a diagnostic guide to neurologic levels. J. B. Lippincott Company: Philadelphia; 1977.

    Google Scholar 

  • Mosca VS. Principles and management of pediatric foot and ankle deformities and malformations. Philadelphia: Wolters Kluwer; 2014.

    Google Scholar 

  • Southerland DH. Gait disorders in childhood and adolescence. Baltimore: Williams and Wilkins; 1984.

    Google Scholar 

  • Zitelli BJ, Davis HW. Atlas of pediatric physical diagnosis. 3rd ed. St. Louis: Mosby-Wolfe; 1997.

    Google Scholar 

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Harris, E.J. (2020). The Pediatric History and Physical Examination. In: Butterworth, M., Marcoux, J. (eds) The Pediatric Foot and Ankle. Springer, Cham. https://doi.org/10.1007/978-3-030-29788-6_1

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  • DOI: https://doi.org/10.1007/978-3-030-29788-6_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29786-2

  • Online ISBN: 978-3-030-29788-6

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