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Put these causes of pediatric limp in order of what age they typically present, from youngest to oldest:
- Legg-Calve-Perthes disease
- Developmental dysplasia of the hip
- Slipped capital femoral epiphysis
- Nondisplaced hairline oblique fracture of the tibia w/o history of trauma
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December 31, 2017 at 5:02 am
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