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Related Experiment Videos

The limping child: evaluation and diagnosis.

J M Flynn1, R F Widmann

  • 1University of Pennsylvania School of Medicine, Philadelphia, PA, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|April 3, 2001
PubMed
Summary

A limp in children requires a structured orthopedic evaluation. Early C-reactive protein testing and imaging like X-rays help diagnose serious conditions promptly.

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Area of Science:

  • Pediatric Orthopedics
  • Gait Analysis
  • Diagnostic Imaging

Background:

  • Limping is a frequent pediatric orthopedic complaint.
  • Numerous potential diagnoses exist, necessitating an organized evaluation approach.
  • Some causes of pediatric limp require urgent intervention.

Purpose of the Study:

  • To outline an organized approach for evaluating pediatric limp.
  • To guide orthopedists in selective diagnostic testing.
  • To emphasize the importance of gait understanding in diagnosis.

Main Methods:

  • Directed history and physical examination.
  • Development of a differential diagnosis based on limp characteristics, age, and affected site.
  • Selective use of laboratory tests and imaging.

Main Results:

  • C-reactive protein assay is a sensitive early indicator for musculoskeletal infections.
  • Plain radiography is the initial imaging modality of choice.
  • Ultrasonography is useful for evaluating irritable hip and guiding aspiration.

Conclusions:

  • An organized approach integrating gait knowledge, targeted examination, and selective testing is crucial for pediatric limp evaluation.
  • Laboratory tests and imaging play key roles in diagnosing urgent conditions like infections and inflammatory arthritis.

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