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Çakırtepe Hastanesi
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Limping in Children

Diagnosis, symptoms, and treatment methods.

General Information About Limping in Children

Limping or altered gait in children can be a symptom of numerous orthopedic or neurological issues, ranging from a simple muscle strain and infections to growing pains and serious hip problems. Particularly, limping that is accompanied by a fever or lasts for days requires urgent medical investigation. In our Pediatric Orthopedics department, appropriate treatment based on the root cause is planned through detailed examination alongside ultrasound and X-ray diagnostics.

Disease Details and Frequently Asked Questions

You can access detailed information about the disease under the headings below.
What Causes Limping in Children?

The most common cause is foot sprains or simple traumas during play. However, transient toxic synovitis (irritable hip), joint infections (septic arthritis), and hip bone disorders (Perthes disease, slipped capital femoral epiphysis) are also serious causes of limping.

What is Toxic Synovitis (Irritable Hip)?

It is the most common cause of limping in childhood. It generally occurs as fluid accumulation in the hip joint a few weeks after an upper respiratory tract infection (flu) and resolves spontaneously with rest.

When is it Considered an Emergency?

If the child is limping or entirely unable to bear weight on the leg, and this is accompanied by high fever, redness, or severe pain, an orthopedist should be consulted urgently due to suspected joint infection (Septic Arthritis).

What is Perthes Disease (Legg-Calvé-Perthes)?

It is a childhood condition occurring between the ages of 4 and 10 (especially in boys), caused by a temporary disruption of blood supply to the hip joint (femoral head), resulting in bone necrosis and deformity. It begins with a painless limp.

How is it Diagnosed?

During the medical examination, the child's gait and range of motion are evaluated. X-rays are taken for bone/fracture issues, while ultrasound and blood tests (such as CRP) are utilized to detect joint fluid accumulation or infections.

How is it Treated?

Treatment varies depending on the cause. Splinting and rest are prescribed for traumas, simple pain relievers for irritable hip, urgent surgical irrigation and antibiotics for infections, and long-term bracing or surgical interventions for hip disorders like Perthes disease.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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