Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Arch Dis Child. 2012 Jul;97(7):644-6. doi: 10.1136/archdischild-2011-300853. Epub 2012 Apr 13.

Poor sensitivity of musculoskeletal history in children.

Author information

  • 1Newcastle upon Tyne NHS Foundation Trust, Rheumatology, Newcastle upon Tyne NE7 7DN, UK. iain.goff@ncl.ac.uk

Abstract

OBJECTIVES:

To demonstrate the sensitivity of musculoskeletal (MSK) history taking.

DESIGN:

Prospective study: consecutive children attending outpatient clinics.

SETTING AND PATIENTS:

Paediatric rheumatology clinic (n=45; girls n=28; median age 12 years, range 3-18), acute general paediatric assessment unit (n=50; girls n=21; median age 8 years, range 3-16).

INTERVENTION:

Pro forma recording abnormal joint involvement from history taking and then following MSK examination completed by clinicians.

MAIN OUTCOME MEASURES:

Sensitivity of MSK history taking compared with clinical examination.

RESULTS:

Paediatric rheumatology clinic: 135 abnormal joints identified in 34 children; 53/135 (39%) by history alone, 82/135 (61%) detected on examination resulting in MSK history sensitivity 53%, specificity 98%. Acute paediatric unit: 29 abnormal joints identified in 17 children; 18/29 identified on history (sensitivity 62%).

CONCLUSIONS:

MSK history taking failed to identify a large number of abnormal joints which were detected on physical examination, emphasising the need for all joints to be examined as part of a screening examination as a minimum.

PMID:
22504732
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire
    Loading ...
    Write to the Help Desk