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Limping in childhood
1Paediatric Orthopaedic Department, University Hospital (A.Z.-V.U.B.), Laarbeeklaan 101, 1090 Brussels, Belgium.
Acta Orthopaedica Belgica
|October 7, 2003
Summary
Limping in children is abnormal and requires diagnosis. A thorough history and physical exam are key to identifying the cause, with further tests guided by these findings.
Area of Science:
- Pediatrics
- Orthopedics
- Gait Analysis
Background:
- Limping is an abnormal gait indicative of underlying issues.
- Causes range from pain and muscular dysfunction to deformities.
- Prompt diagnosis is crucial as limping is never normal.
Purpose of the Study:
- To outline the diagnostic approach for evaluating limping in children.
- To emphasize the importance of clinical assessment in identifying causes of limping.
- To guide the appropriate use of investigations.
Main Methods:
- Comprehensive patient history taking.
- Detailed physical examination of the child.
- Selective use of laboratory tests and imaging based on clinical findings.
Main Results:
- History and physical examination are the primary tools for diagnosis.
- Investigations are guided by initial clinical assessment.
- Some cases may require observation after excluding serious conditions.
Conclusions:
- Establishing the cause of limping is essential.
- Clinical evaluation is paramount in the diagnostic process.
- Observation may be appropriate for idiopathic cases after ruling out pathology.