The Limping Child
Essentially the key decisions to establish is whether the child has a benign cause for limping such Transient Synovitis (which the commonest cause) or a more serious cause such as
For a detailed Guideline approach - follow the RCH Melbourne link:
- Infections: Osteomyelitis / Septic Arthritis, discitis, soft tissue, viral myositis
- Trauma / fractures
- Non accidental or inflicted injury
- Malignancy - Acute lymphoblastic leukaemia, bone tumours, eg: spine or long bone
- Rheumatological disorders and reactive arthritis
- Intra-abdominal pathology, eg: appendicitis
- Inguinoscrotal disorders, eg: testicular torsion
- Vasculitis, serum sickness
- Functional limp
For a detailed Guideline approach - follow the RCH Melbourne link: