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LIMPING IN CHILDREN

Limping in children is a common complaint at pediatric, pediatric orthopaedic offices and in emergency rooms. There are several causes for this condition, and identifying them is a challenge. The older the patient, the better the anamnesis and more detailed the physical examination will be, enabling...

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Autores principales: Santili, Cláudio, Júnior, Wilson Lino, Goiano, Ellen de Oliveira, Lins, Romero Antunes Barreto, Waisberg, Gilberto, Braga, Susana dos Reis, Akkari, Miguel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799062/
https://www.ncbi.nlm.nih.gov/pubmed/27022509
http://dx.doi.org/10.1016/S2255-4971(15)30156-7
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author Santili, Cláudio
Júnior, Wilson Lino
Goiano, Ellen de Oliveira
Lins, Romero Antunes Barreto
Waisberg, Gilberto
Braga, Susana dos Reis
Akkari, Miguel
author_facet Santili, Cláudio
Júnior, Wilson Lino
Goiano, Ellen de Oliveira
Lins, Romero Antunes Barreto
Waisberg, Gilberto
Braga, Susana dos Reis
Akkari, Miguel
author_sort Santili, Cláudio
collection PubMed
description Limping in children is a common complaint at pediatric, pediatric orthopaedic offices and in emergency rooms. There are several causes for this condition, and identifying them is a challenge. The older the patient, the better the anamnesis and more detailed the physical examination will be, enabling an easier medical assessment for searching the source of the disorder. In order to make the approach easier, three age groups can and should be considered. Among infants (1 to 3 years old), diagnosis will most likely be: transitory synovitis, septic arthritis, neurological disorders (mild brain palsy (BP) and muscular dystrophy), congenital hip dislocation (CHD), varus thigh, juvenile rheumatoid arthritis (JRA) and neoplasias (osteoid osteoma, leukemia); in the scholar age group, between 4 and 10 years old, in addition to the diagnoses above, Legg-Calvé-Perthes disease, discoid meniscus, inferior limbs discrepancy and unspecific muscular pain; in adolescents (11 to 15 years old): slipped capital femoral epiphysis, congenital hip dislocation, chondrolysis, overuse syndromes, dissecans osteochondritis, and tarsal coalition. The purpose of this study is to provide an update on how to approach pediatric patients presenting with limping, and to discuss its potential causes.
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spelling pubmed-47990622016-03-28 LIMPING IN CHILDREN Santili, Cláudio Júnior, Wilson Lino Goiano, Ellen de Oliveira Lins, Romero Antunes Barreto Waisberg, Gilberto Braga, Susana dos Reis Akkari, Miguel Rev Bras Ortop Original Article Limping in children is a common complaint at pediatric, pediatric orthopaedic offices and in emergency rooms. There are several causes for this condition, and identifying them is a challenge. The older the patient, the better the anamnesis and more detailed the physical examination will be, enabling an easier medical assessment for searching the source of the disorder. In order to make the approach easier, three age groups can and should be considered. Among infants (1 to 3 years old), diagnosis will most likely be: transitory synovitis, septic arthritis, neurological disorders (mild brain palsy (BP) and muscular dystrophy), congenital hip dislocation (CHD), varus thigh, juvenile rheumatoid arthritis (JRA) and neoplasias (osteoid osteoma, leukemia); in the scholar age group, between 4 and 10 years old, in addition to the diagnoses above, Legg-Calvé-Perthes disease, discoid meniscus, inferior limbs discrepancy and unspecific muscular pain; in adolescents (11 to 15 years old): slipped capital femoral epiphysis, congenital hip dislocation, chondrolysis, overuse syndromes, dissecans osteochondritis, and tarsal coalition. The purpose of this study is to provide an update on how to approach pediatric patients presenting with limping, and to discuss its potential causes. Elsevier 2015-12-08 /pmc/articles/PMC4799062/ /pubmed/27022509 http://dx.doi.org/10.1016/S2255-4971(15)30156-7 Text en © 2009 Sociedade Brasileira de Ortopedia e Traumatologia http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Santili, Cláudio
Júnior, Wilson Lino
Goiano, Ellen de Oliveira
Lins, Romero Antunes Barreto
Waisberg, Gilberto
Braga, Susana dos Reis
Akkari, Miguel
LIMPING IN CHILDREN
title LIMPING IN CHILDREN
title_full LIMPING IN CHILDREN
title_fullStr LIMPING IN CHILDREN
title_full_unstemmed LIMPING IN CHILDREN
title_short LIMPING IN CHILDREN
title_sort limping in children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4799062/
https://www.ncbi.nlm.nih.gov/pubmed/27022509
http://dx.doi.org/10.1016/S2255-4971(15)30156-7
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