An Orthopedic Approach to a Child with a Limp: A Step-by-Step Review Article  

作　　者：Kamran Shirbache Brice Ilharreborde Ali Shirbacheh Ehsan Hedayat Mohammad Hossein Nabian Kamran Shirbache;Brice Ilharreborde;Ali Shirbacheh;Ehsan Hedayat;Mohammad Hossein Nabian(Center of Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran;Robert Debré Hospital, AP-HP, University Paris Cité, Paris, France;Hospital Centre of Niort, Niort, France;Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran)

机构地区：[1]Center of Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran [2]Robert Debré Hospital, AP-HP, University Paris Cité, Paris, France [3]Hospital Centre of Niort, Niort, France [4]Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

出　　处：《Open Journal of Orthopedics》2023年第11期457-476,共20页矫形学期刊（英文）

摘　　要：This article explains the orthopedic approach to limping in children. This is a review article including a selected collection of new articles extracted from PubMed and Google Scholar searched for clinical points and beneficial approaches to limping children. In this paper, limping is divided into two categories, painful and painless. After stating the important points in the patient’s medical history and explaining specific examinations in this area, different gait types in children are explained and the best evaluation method for them is presented. Then, paraclinical examinations and imaging are described in a practical evaluation, high-risk etiologies of limping such as infections, tumors, and fractures are explained in detail and red flags are considered at each step. The algorithms and the list of differential diagnoses for each age group are included, which can provide physicians with a more comprehensive approach to limping in children.This article explains the orthopedic approach to limping in children. This is a review article including a selected collection of new articles extracted from PubMed and Google Scholar searched for clinical points and beneficial approaches to limping children. In this paper, limping is divided into two categories, painful and painless. After stating the important points in the patient’s medical history and explaining specific examinations in this area, different gait types in children are explained and the best evaluation method for them is presented. Then, paraclinical examinations and imaging are described in a practical evaluation, high-risk etiologies of limping such as infections, tumors, and fractures are explained in detail and red flags are considered at each step. The algorithms and the list of differential diagnoses for each age group are included, which can provide physicians with a more comprehensive approach to limping in children.

关 键 词：Limping Child Abnormal Gait Claudication Approach 

分 类 号：R73[医药卫生—肿瘤]