Skip to main content

Table 1 Diagnoses and examination findings in patients with abnormal pGALS examination

From: Acceptability and practicality of a Spanish translation of paediatric Gait Arms Legs and Spine (pGALS) in Peruvian children

Presenting complaint

Examination findings on pGALS screen

Diagnosis

Patients with abnormal pGALS findings and MSK diagnoses

Limp, painful right leg

Unable to complete leg movements – pain

Fractured femur

Abnormal appearance of gait and leg

Swollen elbow, painful left arm

Pain on all arm movements, swelling of elbow

Fractured humerus

Cough, fever

Loss of foot arches, joint hypermobility

Hypermobility/HIV positive, Tuberculosis, pneumonia

Limp, painful leg

Antalgic gait

Tibial diaphysis fracture

Unable to complete knee and hip movements – pain

Painful throat and fever

Loss of foot arches, hypermobility

Hypermobility/Viral tonsillitis

Fever and vomiting

Loss of foot arches, pain, hypermobility

Hypermobility/Dengue Fever

Fall and right arm pain

Pain and restriction of all arm movements

Fracture of radius and ulna

Fever

Pain, loss of foot arches, hypermobility

Hypermobility/Suspected Dengue fever

Patients with abnormal pGALS findings and non-MSK diagnoses

Penetrating injury to left foot

Abnormal antalgic gait

Soft tissue trauma

Animal trap trauma to foot

Abnormal gait

Extensive soft tissue injury to right foot

Traumatic injury to chest

Pain on shoulder flexion

Traumatic injury to chest and abdomen, soft tissue injury and liver

Snake bite, painful, swollen left leg

Unable to complete gait examination, pain on knee movements

Snake Bite

Painful, swollen right leg

Leg swelling, abnormal gait appearance

Cellulitis

Facial pain

Pain and restricted movement of Temporomandibular joint (TMJ)

Mastoiditis

Fever, sore throat

Pain on extension of cervical spine

Tonsillitis

Fever, testicular swelling

Antalgic gait

Dengue fever - arthralgia, testicular oedema

Pain on extension of cervical spine

Fever and parotid swelling

Pain and restriction at TMJ

Parotid abscess

Traumatic amputation of right hand first finger

Pain on metacarpophalangeal squeeze

Traumatic amputation of right hand first finger

Pain on finger and thumb movements