TY - CHAP M1 - Book, Section TI - The Limping Child A1 - Shenoi, Rohit A2 - Schafermeyer, Robert A2 - Tenenbein, Milton A2 - Macias, Charles G. A2 - Sharieff, Ghazala Q. A2 - Yamamoto, Loren G. PY - 2014 T2 - Strange and Schafermeyer's Pediatric Emergency Medicine, 4e AB - In a child with a limp that occurs after trauma, localized radiographs or radiographs of the tibia on the affected side are most likely to reveal the diagnosis.Suspect hip pathology in a child with a limp and knee or thigh pain.Septic arthritis should be suspected in a child with fever, painful limp, elevated C-reactive protein (CRP) >2 mg/dL or erythrocyte sedimentation rate (ESR) >40, and a white cell count >12 × 109/L.In a child presenting with a limp and without a history of trauma, fever or systemic symptoms, commence imaging with a hip ultrasound followed by radiographs if the ultrasound is negative.An MRI should be performed early in the diagnostic process if infection is a possible cause for a limp in a child.A history of trauma and the presence of fever are important symptoms to consider when ordering an expanded diagnostic workup for a limp. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/09 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1105686177 ER -