RCH logo

Clinical Practice Guidelines

  • Acute knee injuries - emergency department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Acute_knee_injuries_-_emergency_department/
    Acute knee injuries - emergency department …Clinical Practice Guidelines : Acute knee injuries - … Guidelines   >   Acute knee injuries - emergency department Print Share Facebook LinkedIn Email …
  • Patellar Dislocation - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Patellar_Dislocation_-_Emergency_Department/
    injury.  Examination findings may be of knee effusion with tenderness medial to the patella.  Examination … gender predilection. It is the second most common cause of a knee haemarthrosis second only to ACL injury … fluid level in the knee) that indicates either a significant soft tissue injury or an osteochondral …
  • Metatarsal Foot Fractures - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Metatarsal_Foot_Fractures_-_Emergency_Department/
    . How common are they and how do they occur? Fractures of the metatarsals are common injuries … than 5yrs are more likely to injure 5th metatarsal Common mechanisms of injury include: Fall from … a height Sport related injury Inversion injury of ankle Crush injury caused by a heavy object falling onto …
  • Slipped upper femoral epiphysis SUFE - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Slipped_upper_femoral_epiphysis_SUFE_-_Emergency_Department/
    complain of vague pain in the groin, thigh or knee. A very reliable clinical sign of a chronic SUFE, even … or knee. SUFE commonly presents with knee pain as the only presenting complaint. A very reliable sign … .   It is common to see a child with months of symptoms having been treated for knee pain eventually diagnosed …
  • Apophysitis of the Pelvis and Hip - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Apophysitis_of_the_Pelvis_and_Hip_-_Emergency_Department/
    with muscle overuse.  It is usually of gradual onset, and should be differentiated from Avulsion injuries … of the Pelvis which present  as an abrupt injury. 2. How are they classified ASIS - Anterior Superior Iliac … and knee and direct palpation of the ischial spine can be done easily. 5. What radiological investigations …
  • Ankle Sprains - Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/fractures/Ankle_Sprains_-_Emergency_Department/
    common injuries, particularly in the older child or adolescent presenting to both the Emergency …, and assessing stability. Management for the majority of injuries involves the ‘RICER’ principle (Rest, Ice … is required for ‘High’ ankle sprains (syndesmosis injuries). 2. How are they classified Classification …
  • The acutely swollen joint
    www.rch.org.au/clinicalguide/guideline_index/The_acutely_swollen_joint/
    eg refusal to weight bear, or use affected joint Constant severe pain or night pain Trauma/injury …/soft tissue injury History of injury Child abuse Unexplained injury, bruising Particularly if non … Haemophilia Personal/Family history Unexplained bruising/bleeding Most commonly knee Rheumatological Juvenile …
  • The limping or non-weight bearing child
    www.rch.org.au/clinicalguide/guideline_index/Child_with_limp/
    injury Malignancy: haematological, bone, soft tissue Rheumatological/immunological disorders: reactive …/haematological or inflicted injury ) Assess gait if able to weight bear – antalgic, waddling gait, etc or changes … joint(s) involved (note that hip pain may localise to knee) Joint examination using "Look, Feel …
  • Vulval and vaginal conditions
    www.rch.org.au/clinicalguide/guideline_index/Vulval_and_vaginal_conditions/
    , including straddle injuries or sexual abuse Vulvodynia Persistent pain in vulval area for ≥3 months without … to moderate-to-severe vulvovaginitis, lichen sclerosus et atrophicus or pinworms Trauma, including straddle injuries … together, knees flexed and hips abducted; or lying on their side with knees drawn up to the chest The child …
  • Cerebral palsy
    www.rch.org.au/clinicalguide/guideline_index/Cerebral_palsy/
    brain injury History Screen for risk factors, including: Family history: CP, stillbirths, miscarriages …, mechanical ventilation Postnatal: stroke, brain injury, CNS infection Features suggestive of motor impairment … on surveillance prompt orthopaedic referral, for consideration of preventative and reconstructive surgery Knee …