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LIMPING IN CHILDREN.
Cláudio Santili1, Wilson Lino Júnior2, Ellen de Oliveira Goiano3
1Department of Orthopedics and Traumatology, Faculdade de Ciências Médicas, Santa Casa de Sao Paulo; Assistant Physician, Pediatric Orthopedics and Traumatology Group, Irmandade da Santa Casa de Misericórdia de Sao Paulo, Sao Paulo, Brazil.
Revista Brasileira De Ortopedia
|March 30, 2016
Summary
Limping in children requires careful diagnosis, with causes varying by age group. This study updates approaches to identifying pediatric limping causes, aiding medical assessment.
Area of Science:
- Pediatric Orthopedics
- Pediatric Rheumatology
- Pediatric Neurology
Background:
- Limping is a frequent pediatric complaint in emergency and orthopedic settings.
- Accurate diagnosis of pediatric limping is challenging due to diverse etiologies.
- Patient age influences diagnostic approaches and potential causes of limping.
Purpose of the Study:
- To provide an updated guide for approaching pediatric patients with limping.
- To discuss the differential diagnoses of limping across different pediatric age groups.
- To enhance medical assessment and identification of limping sources in children.
Main Methods:
- Categorization of pediatric patients into three age groups: infants (1-3 years), school-age (4-10 years), and adolescents (11-15 years).
- Review and compilation of common and significant causes of limping within each age group.
- Discussion of diagnostic considerations based on age-specific presentations.
Main Results:
- Infants: transitory synovitis, septic arthritis, neurological disorders (brain palsy, muscular dystrophy), congenital hip dislocation, varus thigh, juvenile rheumatoid arthritis, neoplasias.
- School-age children: includes infant diagnoses plus Legg-Calvé-Perthes disease, discoid meniscus, limb discrepancy, muscular pain.
- Adolescents: includes previous diagnoses plus slipped capital femoral epiphysis, chondrolysis, overuse syndromes, osteochondritis dissecans, tarsal coalition.
Conclusions:
- Age-stratified diagnostic approaches simplify the assessment of pediatric limping.
- Recognizing age-specific differentials is crucial for timely and accurate diagnosis.
- This updated approach aids clinicians in managing pediatric limping effectively.