1. The limping child.
- Author
-
Leung AK and Lemay JF
- Subjects
- Adolescent, Child, Child, Preschool, Humans, Infant, Infections complications, Infections diagnosis, Infections nursing, Leg Injuries complications, Leg Injuries diagnosis, Leg Injuries nursing, Movement Disorders etiology, Movement Disorders physiopathology, Musculoskeletal Diseases complications, Musculoskeletal Diseases diagnosis, Musculoskeletal Diseases nursing, Nursing Assessment methods, Physical Examination methods, Gait, Movement Disorders diagnosis, Movement Disorders nursing, Pediatric Nursing methods
- Abstract
A child who limps often presents a diagnostic challenge. The differential diagnosis is extensive. Although the most common cause is trauma, awareness of other potential causes is important. The age of the child and the pattern of the gait help narrow the differential diagnosis. In most cases, a diagnosis can be made from the history and physical examination. If the diagnosis is not obvious after a careful clinical evaluation, plain radiographs provide an excellent means of screening for fracture, joint effusion, lytic lesions, periosteal reaction, and avascular necrosis. Other tests should only be ordered when indicated.
- Published
- 2004
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