the limping child Flashcards
1
Q
what is a limp
A
abnormal gait, can be due to pain, deformity, weakness
shortened stance phase (weight bearing) on weight bearing
2
Q
limp causes 1-3yrs
A
septic arthritis
DDH
fracture
3
Q
limp causes 4-10yrs
A
transient synovitis
perthe’s
JIA
4
Q
limp causes >10yrs
A
overuse
SUFE
spondylolithesis
5
Q
limp causes any age
A
septic arthritis trauma, abuse discitis stress fracture cellulitis JIA neoplasia leukaemia DDH
6
Q
infection/inflammatory causes limp
A
septic arthritis
osteomyelitis
transient synovitis
7
Q
differentials if absolute refusal to weight bear
A
infection
neoplasm
fracture
8
Q
septic arthritis presentation
A
limp pseudoparalysis swollen, red refuse to move pyrexic pain
9
Q
when is it transient synovitis
A
limp, touch weight bearing slightly unwell Hx viral infection apyrexial allowing joint to be examined low CRP, WCC normal
