RT Book, Section A1 Shenoi, Rohit A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. A2 Schafermeyer, Robert SR Print(0) ID 1155748326 T1 The Limping Child T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e YR 2019 FD 2019 PB McGraw-Hill Education PP New York, NY SN 9781259860751 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1155748326 RD 2024/10/15 AB In a child with a limp that occurs after trauma, localized radiographs or radiographs of the tibia on the affected side are most likely to reveal the diagnosis.Consider hip pathology in a child with a limp and knee or thigh pain.Suspect septic arthritis in a child with fever, painful limp, elevated C-reactive protein (CRP) >2 mg/dL or erythrocyte sedimentation rate (ESR) >40, and a white cell count >12 × 109/L.In a child presenting with a limp and without a history of trauma, fever, or systemic symptoms, obtain a hip ultrasound followed by radiographs if the ultrasound is negative.A magnetic resonance imaging (MRI) should be performed early in the diagnostic process if infection is a possible cause for a limp in a child.A history of trauma and the presence of fever are important symptoms to consider when ordering an expanded diagnostic workup for a limp.