Limping Child

So many things can be going on — how do we tackle this chief complaint? You’re dreading a big work-up. You almost want to tell the kid: please STOP LIMPING - Tim Horeczko

Limping Child

image by: Special Birds Family Chiropractic
     

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Limping Child? Think LIMPSS

So when you’re faced with a patient who isn’t able to verbalize that their juvenile idiopathic arthritis is flaring up, what are the can’t-miss diagnoses for a limping child in the ED? The list can be long and cumbersome, but there’s an easy mnemonic for that: LIMPSS.

“L” Is for “My Legg Is Rotting!”

Legg-Calvé-Perthes disease (LCPD) is a progressive idiopathic avascular necrosis of the femoral head. It’s typically seen in children aged 3 to 12 years, boys more than girls (4:1), and whites more than blacks (10:1). Although the classic presentation of LCPD is unilateral pain with difficulty internally rotating and abducting the hip, up to 1 in 6 children…

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Last Updated : Saturday, December 4, 2021