Author: Duncan Thomas / Editor: Jason M Kendall / Reviewer: Nadarajah Prasanna / Codes: MuC9, MuP2, SLO3, SLO4, SLO5 / Published: 24/03/2021
A 6-year-old boy attends the Emergency Department with a two week history of pain in the foot, which had developed into a limp over the preceding 2 days. There was no recollected history of injury.
On clinical examination the patient was partially weight bearing, with diffuse tenderness to the midfoot. The patient was apyrexial and systemically well.
X-ray of the foot is shown.
Module Content
The Limping Child
We've all seen limping children. Maybe some of us have even had limping children. Some departments have excellent management strategies and pathways. Some don't. Here's some of our thoughts, musings and suggestions.
The Limping Child - PEM Induction
Elsie is a four year old who has come into the Emergency Department because her parents are concerned that she is not walking. Three days ago she was playing with her aunt and hurt her leg. Since then she has not been weight-bearing and her parents have been carrying her everywhere
Foot Pain
Foot and ankle problems commonly present in primary care and may also present to orthopaedic surgeons, podiatrists, rheumatologists and sports medicine clinics.
18 Comments
Well done
I love a short case!
always be suspiciouswith vague presentation in children especially when there is no history of trauma
good case
interesting , Kohlers disease!
thankyou
great xray
good case
Very interesting. Thanks
Good
Good revision module about avascular necrosis of foot bones in children.
Useful info
It is always great to get it right
Very usefull
THANKS
Well presented case. Thanks
Good case
Have seen a couple in ED, good x-ray for teaching.