1.Crooked neck
The child’s face is asymmetrical, there is a lump on one side of the neck in infancy, and strips can be felt in the neck in early childhood without pain, and the head is often forced to tilt to one side, which is considered as congenital myotonic squint.
2.Lameness, duck walk
The child has asymmetrical skin pattern of hip and thigh, one lower limb is externally rotated and less active, walking late, limping, unstable gait, easy to fall, walking like “duck stance”, or both lower limbs are not equal in length. Consider it as developmental hip dislocation.
3.Foot drop
One side or both sides of the foot droops and turns inward in the shape of a horseshoe, and the child cannot walk with a flat foot and walks on the toes or the back of the lateral foot. The above situation is mostly caused by congenital clubfoot, paralytic clubfoot or congenital polyarticular contracture or traumatic clubfoot.
4.Long hair on the back
Hairy sacrococcygeal region, large bruised skin, bedwetting or soft lump in the lumbar region. Considered as occult spina bifida, spinal cord spinal membrane expansion.
5.Difficulty in combing hair and carrying bowls
The child’s bilateral upper limbs or unilateral forearms cannot be rotated back, and it is difficult to comb hair and end bowls, which is considered as congenital upper ulnar radial joint fusion.
6.Hunchback and lumbar curvature
S-shaped spinal curvature, more pronounced bending, and bulging on one side of the thorax in adolescence are considered scoliosis.
7. Knees or ankles of both legs cannot be brought together
The knees or ankles of both legs cannot be brought together, mostly X-shaped legs and O-shaped legs. This is often accompanied by square skull, thinning hair, late teething, excessive sweating, “beads”, “chicken chest” or rib edge exostosis in the chest, which is a manifestation of rickets.
8.Thumb cannot be straightened actively
The thumb joint is flexed and cannot be actively straightened. Passive extension of the joint local pain, palm surface can be felt thickened lumps, can be flexed with the thumb up and down activities, considered congenital “trigger finger”.
9.Pain in the hip and knee
If you wake up early in the morning and experience limp or pain in the medial knee or hip, and are reluctant to walk, and have a recent history of upper respiratory tract infection, consider temporary synovitis of the hip joint.
10.Inability to move the upper limbs after pulling the arm or child turning over
When a child is pulled by one hand to walk or pulled up by one hand after a child falls, the child suddenly appears to have a drooping upper limb, unwilling to raise the affected limb, and unwilling to use hands to fetch things to play, which is a manifestation of “pulling elbow” (radial head subluxation). If a child is unable to move his upper limb after turning over by himself or rolling down from the sofa to the floor, and is unwilling to pick up things, it should also be considered as radial head subluxation.
If your child is found to have a similar condition as above, you should promptly take your child to the pediatric orthopedic department of the hospital for examination.