Küçük, Öznur Yeditepe Üniversitesi - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Turkey , Korkmaz, Murat Bozok Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Erdoğan, Yalçın Bozok Üniversitesi - Tıp Fakültesi - Aile Hekimliği Ana Bilim Dalı, Turkey , Biçer, Suat Yeditepe Üniversitesi - Tıp Fakültesi - Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Turkey

An etiological-based retrospective evaluation of lower extremity pain in pediatric patients

33225

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 noninflammatory 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.

411

Arthralgia , growth pain , extremity pain

Cumhuriyet Medical Journal

415