Related Experiment Video
Updated: Jun 4, 2026

In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
Limp affecting the hip and knee in children
Insights
Pediatric hip and knee pain in children often stems from growth peculiarities. Prompt diagnosis via physical exams and X-rays is crucial for identifying serious hip conditions and ruling out rare but aggressive knee tumors.
Area of Science:
- Pediatric Orthopedics
- Pediatric Rheumatology
- Pediatric Radiology
Background:
- Limping and pain in the hip and knee are common in growing children.
- Epiphyseal growth variations are a frequent cause of pediatric musculoskeletal conditions.
- Hip problems in children often indicate serious underlying pathology.
Purpose of the Study:
- To highlight the diagnostic approach to pediatric hip and knee pain.
- To differentiate between common and serious causes of pediatric lower limb pain.
- To emphasize the importance of physical examination and imaging in diagnosis.
Main Methods:
- Clinical assessment including physical examination.
- Radiographic imaging (X-rays) for diagnosis.
- Review of common pediatric hip and knee conditions.
Main Results:
- Most childhood knee issues are benign, though the knee is a site for osteogenic sarcoma.
- Hip pathologies like Legg-Calvé-Perthes disease, slipped capital femoral epiphysis, and septic arthritis require prompt attention.
- Conditions such as chondromalacia patellae and Osgood-Schlatter's disease typically have a good prognosis with conservative management.
Conclusions:
- A focused physical exam and X-rays are highly effective in diagnosing pediatric hip and knee pain.
- Early identification of serious hip conditions is critical for optimal outcomes.
- While most knee pain in children is not serious, vigilance for malignancy is necessary.
Abstract:
Limp and pain are common findings about the hip and knee in growing children. Epiphyseal growth peculiarities in children account for many of the specific disease entities. Simple but specific physical examination and mandatory simple X-rays will virtually always give or exclude a diagnosis. problems about the hip are usually serious, for example Legg-Perthes, slipped epiphysis and septic arthritis. Most childhood knee problems are annoying but not serious. Chondromalacia patellae and Osgood-Schlatter's disease seldom require treatment-but the knee is the most common site for osteogenic sarcoma.
Related Concept Videos
Bones of the Lower Limb: Femur and Patella
Knee Joint
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...
Muscles that Move the Leg
Anterior Compartment
The quadriceps femoris, the most visible muscle of the anterior compartment, is integral for leg extension and thigh flexion. It is formed by merging four distinct muscles — the vastus lateralis, vastus medialis, vastus intermedius, and rectus femoris. The quadriceps tendon, a shared tendon of the four quadriceps muscles, is affixed to...
Poliomyelitis
Muscles that Move the Thigh
Three other significant muscles are the gluteus maximus, gluteus medius, and gluteus minimus. The gluteus maximus originates from the posterior surface of the ilium, sacrum, and coccyx, and the thoracolumbar fascia...
Lysosomal Hydrolases
