Related Experiment Videos
[The limping child with a painful hip].
Philippe Gicquel1, Marie-Christine Giacomelli, Claude Karger
1Service de Chirurgie Infantile, Hôpital de Hautepierre, Strasbourg. Philippe.Gicquel@chru-strasbourg.fr
La Revue Du Praticien
|April 6, 2006
Summary
Pediatric hip pain often causes limping. Key causes in children under 10 include septic arthritis, transient synovitis, and Perthes disease, while adolescents may have slipped capital femoral epiphysis.
Area of Science:
- Pediatric Orthopedics
- Pediatric Rheumatology
Context:
- Hip pain is a common pediatric complaint leading to limping.
- Diagnosis relies on age, history, morphology, and imaging (X-ray, ultrasound).
Purpose:
- To outline the differential diagnosis of pediatric hip pain based on age and clinical presentation.
- To highlight urgent vs. long-term management strategies for common pediatric hip conditions.
Summary:
- In children under 10, consider septic arthritis (urgent), transient synovitis, and Perthes disease (requires monitoring for surgical intervention).
- In adolescents, especially overweight ones, slipped capital femoral epiphysis requires prompt surgical fixation to prevent long-term deformity.
Impact:
- Early diagnosis and appropriate management are crucial for optimal outcomes in pediatric hip conditions.
- This approach aims to prevent long-term sequelae such as avascular necrosis and joint deformity.