LIMP

Limp MSK/Traumatic Rheumatological Acute Chronic Bone tumour* (Eg. Osteosarcoma, Ewing’s Sarcoma) Leukemia* Lymphoma* Bone Metastasis Trauma/injury* (Eg. Physical abuse*, fracture, sprain, overuse injuries, etc) Slipped Capital Femoral Epiphysis* Legg-Calve-Perthes* (ie. Avascular Necrosis) Growing pains* Osgood Schlatter Disease* Limp and Extremity Pain Clinical Approach to Painful Limp *Indicates Key Condition This is not an exhaustive list of medical conditions Infectious/Post-infectious Septic Arthritis* Osteomyelitis * Cellulitis* Transient Synovitis* Post-infectious Reactive Arthritis* Rheumatic Fever Malignant Juvenile Idiopathic Arthritis* Inflammatory Bowel Disease* Systemic Lupus Erythematosus Drug reaction Limp often noticed at age of walking Usually painless Developmental Dysplasia of the Hip* Cerebral Palsy* Leg length inequality Talipes equinus Other neuromuscular disease May have a history of trauma Usually painful Usually afebrile Detailed History and Physical exam Usually febrile Usually painful Systemic symptoms often present May be febrile or afebrile Usually painful Systemic symptoms usually present May be febrile or afebrile Usually painful Systemic symptoms usually present