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Hip pain (peds)

Revision as of 18:36, 25 July 2016 by Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==")
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)

Contents

  • 1 Background
  • 2 Clinical Features
  • 3 Differential Diagnosis
    • 3.1 Pediatric limp
      • 3.1.1 Hip Related
      • 3.1.2 Other Causes of Limping
  • 4 Evaluation
  • 5 Management
  • 6 Disposition
  • 7 See Also
  • 8 References

Background

  • It can be difficult to differentiate hip from knee pain in children

Clinical Features

Differential Diagnosis

Pediatric limp

Hip Related

  • Acute rheumatic fever
  • Developmental dysplasia of hip
  • Femur fracture
  • Juvenile idiopathic arthritis
  • Legg-Calve-Perthes disease
  • Septic arthritis of the hip (peds)
    • Lyme disease arthritis
  • Slipped capital femoral epiphysis
  • Transient (toxic) synovitis
  • Osteosarcoma

Other Causes of Limping

  • Developmental dysplasia
  • Fracture
    • Toddler's fracture
    • Tillaux fracture, adolescent
  • Neoplasm:
    • Leukemia
    • Ewings
    • Osteogenic sarcoma
    • Metastatic neuroblastoma
  • Osteomyelitis
  • Myositis
  • Other:
    • Appendicitis
    • Meningitis
    • Epidural abscess (spinal)

Evaluation

  • X-ray hip, knee
  • Consider CBC, ESR
  • Consider hip US (vs CT)

Management

Disposition

See Also

  • Limp (Peds)
  • Hip Pain

References

Retrieved from "https://www.wikem.org/w/index.php?title=Hip_pain_(peds)&oldid=89767"
Categories:
  • Pediatrics
  • Orthopedics
Authors:
  • Ross Donaldson
  • Jordan Swartz
  • Bobak Zonnoor
  • Claire
  • Michael Holtz
  • Daniel Ostermayer
  • Neil Young
  • Jonathan Osgood
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This page was last edited on 25 July 2016, at 18:36. Donate