Publication date: Available online 27 October 2018
Source: European Journal of Radiology
Author(s): Alessandra Bartoloni, Maria Pilar Aparisi Gómez, Marco Cirillo, Georgina Allen, Giuseppe Battista, Giuseppe Guglielmi, Paolo Tomà, Alberto Bazzocchi
Abstract
Limping is a challenging symptom in the pediatric patient as the diagnosis can range from traumatic, malformative, infectious/inflammatory and neoplastic diseases.
In this paper, we propose a schematic imaging algorithm to the limping child in three different age groups (Toddler: 1-3years, child: 4-10 years; adolescent: 11-16 years) based on presence of signs of infection, any specific localization of pain, and history of trauma. In this setting, the most common imaging pitfalls are also summarised. Finally, a literature review of the main differential causes of limping in the pediatric patient is reported.
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