Pediatrics in Review
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The Limping Child

G. Dean MacEwen MD1
Robert Dehne MD2
 1 Professor of Orthopedics, Louisiana State University Medical School, New Orleans, Louisiana. To whom reprint requests should be addressed: Chairman, Dept of Pediatric Orthopedics, Children's Hospital, 200 Henry Clay Aye, New Orieans, LA 70118
2 Assistant Professor, Louisiana State University Medical School

Evaluation of a limping child requires careful consideration and a basic knowledge of potential problems affecting the child. The most important point is not to miss or delay diagnosis of the septic hip. This is truly an orthopedic emergency. Complaints of knee pain should not throw the physician off the track of a diagnosis of hip disease.

It is also important to be aware of how the medical history affects the musculoskeletal system. Many causes of limp are best analyzed by repeat examination and stepwise laboratory and radiographic evaluation. One should realize that a painful limp can be caused by something as mundane as a thorn in the heel or as serious as a tumor of the spine: Be suspicious.




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Home page
 J Am Acad Orthop SurgHome page
J. M. Flynn and R. F. Widmann
The Limping Child: Evaluation and Diagnosis
J. Am. Acad. Ortho. Surg., March 1, 2001; 9(2): 89 - 98.
[Abstract] [Full Text] [PDF]


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