The Limping Child

Authors: Prof. Mamoun Kremli, Dr. Tarif Alakhras

TOC

• The limping child Introduction, History, And gait

• Limping Age Specific Conditions and Algorithm

• Crutches

Summary

The evaluation of a limping child requires a systematic approach considering:

1. Age-specific conditions (DDH, Perthes, SCFE, infections)
2. Pain characteristics (painful vs. painless limping)
3. Gait pattern analysis (antalgic, Trendelenburg, etc.)
4. Comprehensive history including onset and associated symptoms
5. Physical examination tailored to suspected etiology

Key principle: Always consider serious pathology before attributing limping to “growing pains.”