Best Practice Case Studies-Atraumatic Limp in Pediatric Patients

Video Transcription

Video Summary

The National Fellow Online Lecture Series, hosted by the AMSSM's Education and Fellowship Committees, featured Dr. Christina Wilson speaking on atraumatic causes of limping in pediatric patients. Dr. Wilson, a pediatric sports medicine physician and medical director at Phoenix Children's Hospital, covered common causes of pediatric limping without injury, focusing on conditions like developmental dysplasia of the hip, transient synovitis, septic arthritis, and slipped capital femoral epiphysis (SCIFI). The limp in children can be due to a broad differential, making age, type of gait, and pain important factors in narrowing diagnosis. Dr. Wilson illustrated key cases, including developmental dysplasia often missed at birth but detected later due to gait issues, and the importance of early diagnosis and treatment in avoiding surgical interventions. Her discussion highlighted the importance of evaluating gait, understanding normal versus abnormal variations, and appreciating early signs of conditions like Legg-Calve-Perthes disease and SCIFI. She also emphasized the use of imaging, particularly in early detection and management, and the role of ultrasonography in differentiating conditions like septic arthritis from transient synovitis. Key takeaways included the importance of careful diagnosis and urgency in treating certain conditions, advocating for regular reading of one's own imaging to avoid missed diagnoses. The lecture concluded with a Q&A session, addressing concerns about specific conditions and examination techniques.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 45

Topic Pediatric Issues

Keywords

3rd Edition, CASE 45

3rd Edition

Pediatric Issues

pediatric limping

atraumatic causes

developmental dysplasia

transient synovitis

septic arthritis

slipped capital femoral epiphysis

gait evaluation

imaging techniques

ultrasonography

early diagnosis