The Limping Child Flashcards
1
Q
What is a limp?
A
- abnormal gait deformity commonly due to pain, weakness or deformity
- shorter stance phase (weight-bearing) on the affected limb
2
Q
What are common causes of limp in children?
A
- toxic synovitis
- septic arthritis
- trauma
- osteomyelitis
- viral syndrome
- Perthes disease
- fracture
3
Q
What are the anatomical origins of a limp in children?
A
- hip
- thigh
- knee
- leg
- foot
4
Q
What are the investigations for a limp?
A
- temperature
- XR
- US
- bloods
- WBC
- CRP
- ESR
- CK
- cultures
5
Q
What is the presentation of septic arthritis?
A
- limping
- pseudo paralysis
- swollen, red joint
- refusal to move joint
- pain
- temperature
6
Q
What are the investigation for septic arthritis?
A
- XR
- US
- bloods
- FBC + differentials
- ESR > 50mm/hr
- CRP
- cultures
- synovial fluid
- WCC > 50,000mm3
- gram stain
- culture
7
Q
What is the Kocher criteria for septic arthritis?
A
- pyrexia- >38°C
- weight bearing- no
- WBC count- > 12,000/ml
- ESR- > 40mm/hr
8
Q
What is the treatment for septic arthritis?
A
- aspiration
- arthroscopy
- arthrotomy
- antibiotics
9
Q
What is the presentation of a limp caused by transiet synovitis?
A
- limping, touch weight bearing
- slighty unwell
- history of viral infection (e.g. URTI, ear)
- low CRP, normal WCC
- may have joint effusion
