RT Book, Section A1 Shenoi, Rohit A2 Schafermeyer, Robert A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. SR Print(0) ID 1105686177 T1 The Limping Child T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182926-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=1105686177 RD 2024/10/05 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.