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Pediatrics, Limp: Multimedia
Updated: Oct 2, 2009
Multimedia
 | Media file 1: Demonstration of Galeazzi test to evaluate for leg length discrepancy. |
 | Media file 2: Demonstration of FABER test to evaluate for sacro-iliac joint pathology. |
 | Media file 3: Demonstration of prone internal rotation. The maneuver increases intracapsular pressure in the hip and will not be tolerated by a patient with an inflammatory process. |
 | Media file 4: Legg-Calve-Perthes disease. Patient with a painful hip and limp for several months. Reproduced with permission from Loren Yamamoto, Radiology Cases in Pediatric Emergency Medicine. |
 | Media file 5: Toddler's fracture. Reproduced with permission from Radiology Cases in Pediatric Emergency Medicine, Volume 4, Case 18, Melinda D. Santhany, MD. Kapiolani Medical Center for Women and Children, University of Hawaii, John A. Burns School of Medicine. |
 | Media file 6: Transient synovitis. Ultrasound image of the left hip shows a large joint effusion. The fluid was aspirated leading to complete resolution of symptoms. No organisms were grown, and the diagnosis was transient synovitis. |
 | Media file 7: Ewing sarcoma. Anteroposterior radiograph of the femur in a 14-year-old male shows an ill-defined permeative lytic lesion of the proximal femur, with lamellated periosteal reaction (arrows). Coronal inversion recovery MRI image demonstrated a tumor within the proximal femur, with reactive bone marrow edema. Lamellated periosteal reaction is present (arrows), and edema is seen in the adjacent soft tissues. The tumor was biopsy-proven as Ewing sarcoma. |
 | Media file 8: Juvenile idiopathic arthritis. Anteroposterior radiograph of the hip shows ballooning of the femoral metaphysis and flattening of the femoral epiphysis, with erosion of the femoral head. On the sagittal T2-weighted image, a joint effusion with prominent nodular synovitis is observed (arrows). Erosions are seen in the acetabulum and femoral head (open arrows). |
 | Media file 9: Knee radiographs in leukemia. Oblique radiographs of the knee show lucent metaphyseal bands, which are seen in 90% of patients with leukemia. |
 | Media file 10: Osteochondroma. Anteroposterior and lateral radiographs of the left leg in a 10-year-old boy with hereditary multiple exostoses showing multiple osteochondromas (arrows). |
 | Media file 11: Osgood-Schlatter disease. Lateral radiograph of the left knee showing fragmentation of the tibial tubercle with overlying soft tissue swelling, consistent with Osgood-Schlatter disease. |
 | Media file 12: Osteoid osteoma. Anteroposterior film of the femur in a 10-year-old boy shows cortical thickening of the medial aspect of the distal femur (arrows). Coronal inversion recovery demonstrates a high signal intensity lesion in the medial cortex, with associated bone marrow edema, biopsy proven to be an osteoid osteoma. |
 | Media file 13: Osteomyelitis. Anteroposterior radiograph of the pelvis in a 16-month-old boy shows erosion and lucency of the metaphysis in the right proximal femur (arrows). Coronal inversion recovery image show a joint effusion in the right hip. Extensive bone marrow edema is present in the femoral metaphysis, with edema in the surrounding soft tissues. |
 | Media file 14: Osteosarcoma. Anteroposterior and lateral radiographs in a 9-year-old girl shows a destructive lesion of the distal femoral metaphysis medially, with aggressive sunburst periosteal reaction and a Codman's triangle on the lateral view (arrow). Coronal T1-weighted and axial T2-weighted images showing an expansile tumor of the distal femur with cortical destruction and extension into the soft tissues (arrows). |
 | Media file 15: Slipped capital femoral epiphysis. Anteroposterior pelvis in an overweight13-year-old adolescent girl shows widening of the epiphyseal plate with irregular margins. Frog leg lateral views shows posteromedial displacement of the femoral head. |
 | Media file 16: Legg-Calve-Perthes disease. Anteroposterior and frog leg lateral radiographs of the pelvis in a 8-year-old girl shows fragmentation and collapse of the left femoral capital epiphysis. |
 | Media file 17: Developmental dysplasia of the hip. Anteroposterior radiograph of the pelvis in a 2-year-old child demonstrates a shallow acetabulum on the right, with lateral uncovering of the femoral head. The left hip appears unremarkable. |
More on Pediatrics, Limp |
| Overview: Pediatrics, Limp |
| Differential Diagnoses & Workup: Pediatrics, Limp |
| Treatment & Medication: Pediatrics, Limp |
| Follow-up: Pediatrics, Limp |
 Multimedia: Pediatrics, Limp |
| References |
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References
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Further Reading
Keywords
limping, limping in children, steppage gait, shuffling gait, peripheral nerve palsies, Marie-Charcot-Tooth disease, posttraumatic peroneal nerve palsy, ataxia, labyrinthitis, alcohol-induced organic brain disease, inherited diseases, Friedreich ataxia, otitis media, antalgic gaits, truncal lurch gait, exaggerated trunk swing, osteomyelitis, slapping gait, leg injuries, leg fractures, toddler's fractures, abuse injuries, sprains, avascular necrosis, Legg-Calve-Perthes disease, cerebral palsy, spastic paralysis, scissoring gait, vaulting gait, abnormal gait, toe-walking gait, leg length discrepancy, abductor lurch, Trendelenburg gait, waddling gait, stooped gait
