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Paediatric and adolescent rheumatology

G/WEDS/RHE1 IS THERE A DIFFERENCE IN THE MAGNITUDE OF THE FEMORAL NECK ANTEVERSION ANGLE BETWEEN THOSE 2–10-YEAR OLD CHILDREN WHO MANIFEST THE CLINICAL SIGNS OF "GROWING PAINS" AND THOSE THAT DO NOT? A BLINDED, CROSS-SECTIONAL PILOT STUDY
J. Leighton.University of Portsmouth, Portsmouth, UK

Aims: "Growing pains" (GP) has been associated with reduced tibial speed of sound (SOS), more tender points and reduced pain thresholds; however, its aetiology remains unknown. Femoral neck anteversion angle (FNA) has been implicated with several paediatric orthopaedic complaints. Normal FNA regression occurs from birth to mid-adolescence from 36° down to 11–15° through progressive internal torsion of the femoral neck relative to the diaphysis. This blinded, cross-sectional pilot study investigates relative difference in mean FNA between children (aged 2–10-year old) with/without GP symptoms and for within-group correlations between age and FNA.

Methods: Healthy subjects aged 2–10 years old, whose parents gave written consent and who met inclusion criteria, were consecutively recruited from two infants schools and a nursery; their parents completed a validated leg pains questionnaire used to systematically score and categorise subjects into control or test groups based on a widely accepted . . . [Full text of this article]