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Flashcards in limping child Deck (10):
1

ages 1-3 common DDx for limping or pain

Septic arthritis from Staph Aureus or hematogenous spread of staph, ecoli, candida; happens after a URI)

Spiral fracture (epiphyseal fractures pathognomonic for child abuse)

Developmental Dysplasia of the hip (common in first born females on the left side born by breech)

Oteomyelitis

2

Pavlic harness can be used to tx

developmental dysplasia of the hip

3

Clunk during Ortolani/Barlow provocative test when you try to remove the femur head from the acetabulum

pathognomonic for developmental dysplasia of the hip

4

Kosher criteria for Septic arthritis

WBC>12000
ESR>40
Inability to ambulate
CRP>2.5

5

REpeated microtrauma that is likely recurrent happens n boys 2-17

Legg-Calve-Perthes disease (avascular necrosis)

6

Antalgic gait

pain in the hip/knee/ankle. Shortened stance on the affected side

7

Trendelenburg gait

downward pelvic tilt that can be seen in kids with developmental dysplasia, Legg-calves-perthes or slipped capital femoral epiphysis

also could be indicative in adults of superior gluteal nerve damage

8

Steppage or equinus gait

inability to dorsiflex

seen in those with neuromuscular disease like cerebral palsy

9

Neoplastic differential with limping child

Leukemia
Neuroblastoma

Benign Primary bone tumors (bone cyst, osteoid, osteoma)

Malignant bone tumors (Ewing, osteogenic sarcomas)

10

Pinpoint pain over the tibial tuberosity indicative of

Osgood-schlatters