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The limping child 

The limping child
Chapter:
The limping child
Author(s):

Lalarukh Khan

DOI:
10.1093/med/9780199654093.003.0007
Page of

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date: 28 November 2020

This chapter provides an overview of the challenges facing the emergency physician dealing with a child with a new presentation of limp. It describes an overview of the range of potential differential diagnoses and a structure in which to stratify the risk of each.

It examines the evidence base for three key clinical questions: an approach to differentiating the child with septic arthritis from transient synovitis, the evaluation of imaging modalities comparing the use of plain radiographs versus ultrasound of the hips, and the role of steroids in addition to antibiotics in confirmed septic arthritis. The chapter also explores the potential use of bedside emergency department ultrasound and the role of MRI scanning in confirming diagnoses.

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