A Limping Child

Question 1

What is this a presentation of?

Limp. Acute onset, viral infection, well child, mild fever, more common in boys, 2-12 years.

Answer 1

Transient synovitis

Question 2

What is this a presentation of?

Limp. Unwell child, high fever, WCC >12, CRP >20, non-weight bearing.

Answer 2

Septic arthritis/osteomyelitis

Question 3

What is this a presentation of?

Painless limp, autoimmune picture.

Answer 3

Juvenile idiopathic arthritis

Question 4

What is this a presentation of?

Limp. 4-8 years old, due to avascular necrosis of the femoral head.

Answer 4

Perthes’ disease

Question 5

What is this a presentation of?

Limp. 10-15 years, displacement of the femoral head epiphysis postero-inferiorly.

Answer 5

Slipped upper femoral epiphysis