Limp In Children - 20
Limp is a labored, jerky or strenuous way of walking, usually caused by weakness, pain, or deformity. Although usually caused by benign conditions, at times it may be life or limb threatening.
- Congenital (lower limb, spine)
- Acquired (lower limb, spine)
- Growing pains
- Pain amplification syndromes
Given a child with a limp, the candidate will identify the most likely cause, in particular ruling out the most serious possible diagnoses. Note, in particular, that the most serious diseases causing a limp or leg pain in children are usually unilateral.
Given a child with a limp, the candidate will
- acquire and interpret critical clinical findings, including
- determining whether the pain originates in bone, joint, or soft tissue.
- localizing the site of pain (e.g., unilateral or bilateral) and the site of pathology (e.g., referred pain).
- recognizing signs and symptoms suggestive of serious disease;
- calculating leg length discrepancies;
- describing stance and gait;
- list and interpret critical investigations, including
- appropriate diagnostic imaging modalities (e.g., X-ray, nuclear scan);
- constructing an effective initial management plan, including
- determining if the patient requires specialized care, including referral to other health care professionals;
- in the case of a child persistent pain or limp, determining if further assessment is needed.