The limping child

Abstract

Educational Gap: Limping is a common chief complaint among children seeking medical attention. Results of a thorough history and physical examination can narrow possible etiologies significantly. Knowledge of the following orthopedic emergencies can prevent further complications: septic arthritis, compartment syndrome, vascular compromise, open fractures, and unstable slipped capital femoral epiphysis. Objectives: After completing this article, the reader should be able to: 1. Gain an understanding of the normal and abnormal pediatric gait patterns. 2. Distinguish between septic arthritis and toxic synovitis of the hip. 3. Recognize orthopedic emergencies. 4. Understand and differentiate between the following causes of limp: developmental hip dysplasia, Legg-Calvé-Perthes disease, and slipped capital femoral epiphysis. 5. Diagnose common overuse injuries in children. 6. Formulate a differential diagnosis of the limping child based on the patient's age.