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The child with a limp.

W A Phillips1

  • 1Section of Orthopaedic Surgery, University of Michigan, Ann Arbor.

The Orthopedic Clinics of North America
|October 1, 1987
PubMed
Summary
This summary is machine-generated.

Diagnosing a child's limp involves understanding normal childhood gait and assessment techniques. This guide aids in identifying potential serious conditions and provides age-based differential diagnoses for limping children.

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Area of Science:

  • Pediatric Orthopedics
  • Developmental Pediatrics

Background:

  • Limping in children presents a frequent diagnostic challenge for clinicians.
  • Accurate diagnosis is crucial for timely and appropriate management.

Purpose of the Study:

  • To provide a comprehensive overview of normal gait development in children.
  • To outline systematic approaches for assessing a child presenting with a limp.
  • To review serious ("catastrophic") conditions and present age-based differential diagnoses for pediatric limp.

Main Methods:

  • Review of established pediatric gait literature.
  • Discussion of clinical examination techniques for evaluating limping children.
  • Categorization of potential causes of limp by age group.

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Main Results:

  • Normal gait parameters in children are detailed.
  • A structured approach to the limping child is presented.
  • Differential diagnoses are stratified according to pediatric age groups, highlighting urgent conditions.

Conclusions:

  • Systematic assessment and age-based differential diagnosis are key to managing pediatric limp.
  • Early recognition of "catastrophic" causes ensures prompt intervention.
  • This review serves as a practical guide for healthcare providers encountering limping children.