Pitfalls in Pediatric Orthopedic Trauma : The Limping Child

T he limping child may present a significant challenge to the physician. In order to arrive at the correct diagnosis, the clinician must approach each patient in an organized fashion. In general, disorders that cause limping vary from age group to age group. This article will examine three different age groups relative to the disorders leading to gait disturbances. The three groups are toddlers (ages one to three years), children (ages four to 10 years), and adolescents (ages 11 to 15 years). A thorough history taken by the clinician is important in evaluating the limping child. The history may allow for an early diagnosis, perhaps even before the physical examination is performed. Most of the conditions described below usually require an orthopedic surgical consultation.