Limp (peds): Difference between revisions
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==Background== | |||
*It can be difficult to differentiate hip from knee pain in children | |||
==Clinical Features== | |||
==Differential Diagnosis== | |||
==Differential Diagnosis (Serious)== | ==Differential Diagnosis (Serious)== | ||
*Developmental dysplasia | *Developmental dysplasia | ||
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{{Pediatric hip DDX}} | {{Pediatric hip DDX}} | ||
==Evaluation== | |||
*X-ray hip, knee | |||
*Consider CBC, ESR | |||
*Consider hip [[ultrasound]] (vs CT) | |||
==Management== | |||
==Disposition== | |||
==See Also== | ==See Also== | ||
[[ | *[[Limp (Peds)]] | ||
*[[Hip Pain]] | |||
==External Links== | |||
*[http://pemplaybook.org/podcast/please-just-stop-limping/ Pediatric Emergency Playbook Podcast: Please Just STOP LIMPING] | |||
==References== | |||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 20:57, 23 January 2017
Background
- It can be difficult to differentiate hip from knee pain in children
Clinical Features
Differential Diagnosis
Differential Diagnosis (Serious)
- Developmental dysplasia
- Fracture
- Toddler's fracture
- Tillaux fracture, adolescent
- Neoplasm:
- Leukemia
- Ewings
- Osteogenic sarcoma
- Metastatic neuroblastoma
- Osteomyelitis
- SCFE
- Septic arthritis
- Other:
- Appendicitis
- Meningitis
- Epidural abscess (spine)
Pediatric limp
Hip Related
- Acute rheumatic fever
- Developmental dysplasia of hip
- Femur fracture
- Juvenile idiopathic arthritis
- Legg-Calve-Perthes disease
- Septic arthritis of the hip (peds)
- Lyme disease arthritis
- Slipped capital femoral epiphysis
- Transient (toxic) synovitis
- Osteosarcoma
Other Causes of Limping
- Developmental dysplasia
- Fracture
- Toddler's fracture
- Tillaux fracture, adolescent
- Neoplasm:
- Leukemia
- Ewings
- Osteogenic sarcoma
- Metastatic neuroblastoma
- Osteomyelitis
- Myositis
- Other:
Evaluation
- X-ray hip, knee
- Consider CBC, ESR
- Consider hip ultrasound (vs CT)