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 2024/04/23
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.