PEM Source

Your source for all things Pediatric Emergency Medicine

1

Question: Limp

(Click the link to comment and to vote – voting not working through email, sorry!)

Put these causes of pediatric limp in order of what age they typically present, from youngest to oldest:

  1. Legg-Calve-Perthes disease
  2. Developmental dysplasia of the hip
  3. Slipped capital femoral epiphysis
  4. Nondisplaced hairline oblique fracture of the tibia w/o history of trauma
What is the order of typical presentation from youngest to oldest?
Ortho

pemsou5_wp • December 26, 2017


Previous Post

Next Post

Comments

  1. Kelly December 31, 2017 - 5:02 am Reply

    The answer is B. Developmental dysplasia of the hip is typically diagnosed in infancy, and if initially missed would be found at the time the child begins to walk. Number 4 represents a toddler’s fracture. Legg-Calve-Perthes disease (avascular necrosis of the femoral head) is commonly found at age 4-10yo, and SCFE is common in 10-16yo. Check out the PEMsource limp algorithm at http://pemsource.org/wp-content/uploads/2017/09/Limping-Child.pdf

Leave a Reply

Your email address will not be published / Required fields are marked *