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Kinder- und Jugendmedizin 2023; 23(05): 291-303
DOI: 10.1055/a-2112-6882
Schwerpunkt

Woran denken bei Gelenkschmerzen?

Painfull joints – what might be the reason?
Johannes-Peter Haas
1   Deutsches Zentrum für Kinder und Jugendrheumatologie, Kinderklinik gGmbH, Garmisch-Partenkirchen, Ludwig-Maximillians Universität, München
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ZUSAMMENFASSUNG

Gelenksbeschwerden und Schmerzen im Bereich des muskulo-skelettalen Systems gehören zu den häufigsten Symptomen in kinder- und jugendmedizinischen Praxen und Ambulanzen. Meistens handelt es sich um temporäre durch Bagatelltraumen und/oder Überlastung verursachte Beschwerden oder eine Begleitreaktion z. B. im Rahmen von Infektionserkrankungen. Wiederholte und/oder länger anhaltende Beschwerden insbesondere in gleicher Lokalisation bedürfen jedoch einer eingehenden Abklärung. Differenzialdiagnostisch ist bei unklaren Gelenksbeschwerden eine Vielzahl von Erkrankungen möglich, die zum Teil sehr selten auftreten. Dies erschwert die zielorientierte Abklärung für den Praktiker. Eine rechtzeitige Diagnostik kann einerseits das Auftreten bleibender Schäden und andererseits bedrohliche Verkäufe, die bei einigen Erkrankungen die das muskulo-skelettale System betreffen möglich sind, vermeiden helfen. Die folgende Zusammenstellung soll hier einen praxisorientierten Leitfaden bieten.

ABSTRACT

Painful joints and limbs are one of the most frequent symptoms in child- and adulthood. The majority of cases will suffer temporarily from pain resulting from trauma and/or overstressing. Moreover muscular-skeletal symptoms may accompany infectious diseases. Repeating or long lasting pain at the same location respectively requires more precise investigations. As the diagnostic routine has to consider a lot of different and some very rare diseases a goal-orientated work-up is sometimes difficult. Early diagnosis is mandatory to prevent from potential permanent damage as well as to hinder threatening courses which might develop in some diseases to be considered. The following review provides a guideline for the practitioner.

Schlüsselwörter

Gelenksbeschwerden - Gelenkschmerz - Kinder - Jugendliche - juvenile idiopathische Arthritis - chronischer Schmerz

Keywords

Arthralgia - painful joint - children - adolescents - juvenile idiopathic arthritis - chronic pain


Publication History

Article published online:
16 October 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG,
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