Principles of management of musculoskeletal conditions in children and young people.
Musculoskeletal symptoms and rheumatic conditions are common throughout childhood and adolescence. Age- and development-appropriate care and management of children and young people with such conditions is vital, acknowledging that they are NOT small adults! The major aspect of both paediatric and adolescent rheumatology care which differentiates it from adult care is the fact that children and young people are still growing, in contrast to the ageing and senescence which characterizes adult rheumatology. Growth must be considered in the global sense, incorporating cognitive and psychosocial growth as well as physical growth. Likewise, the reciprocal influences of growth and a chronic rheumatic condition should be considered when caring for young people with childhood-onset rheumatic disease. This chapter will detail the general principles of management of such symptomatology with primary reference to chronic conditions.
Davis
Penny J C
PJ
Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK.
McDonagh
Janet E
JE
D000293:Adolescent; D041923:Adolescent Development / Q000502:physiology; D000328:Adult; D002648:Child; D002657:Child Development / Q000502:physiology; D002675:Child, Preschool; D002908:Chronic Disease; D002983:Clinical Competence; D005260:Female; D006801:Humans; D008297:Male; D009140:Musculoskeletal Diseases / Q000175:diagnosis* / Q000628:therapy*; D010817:Physician-Patient Relations; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011379:Prognosis; D012216:Rheumatic Diseases / Q000175:diagnosis* / Q000628:therapy*; D012219:Rheumatology / Q000592:standards / Q000639:trends; D018570:Risk Assessment; D012720:Severity of Illness Index