LIMP

Limp Acute MSK / Traumatic Trauma / Injury (e.g., Physical abuse, fracture, sprain, overuse injuries) Slipped Capital Femoral Epiphysis Legg-Calvé-Perthes (Avascular necrosis) Growing pains Osgood-Schlatter Disease Infectious / Post-Infectious Septic Arthritis Osteomyelitis Cellulitis Transient Synovitis Post-infectious Reactive Arthritis Rheumatic Fever Rheumatological May be febrile or afebrile Usually painful Systemic symptoms usually present Conditions include: Juvenile Idiopathic Arthritis Inflammatory Bowel Disease Systemic Lupus Erythematosus Drug reaction Malignant May be febrile or afebrile Usually painful Systemic symptoms usually present Conditions include: Bone tumour (e.g., Osteosarcoma, Ewing’s Sarcoma) Leukemia Lymphoma Bone metastasis Chronic Developmental Dysplasia of the Hip Cerebral Palsy Leg length inequality Talipes equinus Other neuromuscular disease Notes Acute: Usually painful, febrile, systemic symptoms often present, may have trauma history Chronic: Often noticed at age of walking, usually painless * Indicates Key Condition This is not an exhaustive list of medical conditions.