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Limping: Evaluation, Diagnosis, and Management in the Pediatric ED

August 2006

Abstract

Children often present to the ED with a limp. When there is a history of trauma, the management is often straight forward. Without a history of trauma, the differential can be overwhelming.

The causes of limping or leg pain in a child can be as benign as "growing pains" or as malignant as a tumor. To avoid a "shot gun" approach in the evaluation of a child with a non traumatic limp, the emergency physician should be knowledgeable in the history and physical examination findings of the common etiologies of the limping child to avoid unnecessary tests and radiographs. In this issue of Pediatric Emergency Medicine Practice, we will review the available evidence on the evaluation of a child with a non traumatic limp.
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