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The limping child
| The first 150 words of the full text of this article appear below. |
Among the complaints that ring alarm
bells in paediatricians' heads, back pain and a limp must come high on
the list. The first prospective study of children presenting with a
limp has been reported from Edinburgh (SU Fischer and TF Beattie.
Journal of Bone and Joint Surgery [Br]
1999;81-B:1029-34). In the
first six months of 1996, 244 children aged 1-14 years presented to the accident and emergency department of the Royal Hospital for Sick
Children with a limp and no history of trauma. One child was excluded
from analysis because of inadequate records. These children represented
0.18% of attendances and 63% of them were boys. Their median age was
4.35 years. About one third presented on the day of onset of the limp
and 85% within a week of onset. A diagnosis was not made in 72 children (30%). The most common final diagnoses were transient
synovitis (23%), irritable hip (16%), and
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