{"id":4091,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/limp\/"},"modified":"2024-12-30T14:47:20","modified_gmt":"2024-12-30T14:47:20","slug":"limp","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatricorthopaedics\/limp\/","title":{"rendered":"Limp"},"content":{"rendered":"\n<title>Limp<\/title>\n\n\n\n<p>\u200b<strong>Information<\/strong><\/p>\n\n\n\n<p>Always check the hip, if they complain of knee pain.<\/p>\n\n\n\n<p>Differential is wide and includes:<\/p>\n\n\n\n<p>Transient synovitis<\/p>\n\n\n\n<p>Septic arthritis<\/p>\n\n\n\n<p>Osteomyelitis<\/p>\n\n\n\n<p>MSK \/spinal tumour<\/p>\n\n\n\n<p>Leukemia<\/p>\n\n\n\n<p>SCFE<\/p>\n\n\n\n<p>Perthes<\/p>\n\n\n\n<p>Inflammatory e.g. JIA<\/p>\n\n\n\n<p>Neuromuscular e.g. Cerebral Palsy<\/p>\n\n\n\n<p>Developmental e.g. DDH, leg length discrepancy<\/p>\n\n\n\n<p><strong>M.A. &amp; M-J.S. 13-04-23<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Refer to ED acute limp and red flags<\/p>\n\n\n\n<p>Red flags<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Unwell\/pyrexial child<\/li>\n\n\n\n<li>Duration &gt;7 days<\/li>\n\n\n\n<li>Worsening \/ recurrent limp<\/li>\n\n\n\n<li>Pallor, bruising, petechiae<\/li>\n\n\n\n<li>Nocturnal symptoms<\/li>\n\n\n\n<li>Inability to weight bear<\/li>\n\n\n\n<li>Restricted joint movement<\/li>\n\n\n\n<li>Swollen, red, hot joint\/skin<\/li>\n<\/ul>\n\n\n\n<p>Chronic limp, refer to Paediatric Orthopaedics<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n\n\n\n<iframe src=\"\/refhelp\/list-resources-and-links\/?post_id=4091\"><\/iframe>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Limp &#8203;Information Always check the hip, if they complain of knee pain. Differential is wide and includes: Transient synovitis Septic arthritis Osteomyelitis MSK \/spinal tumour Leukemia SCFE Perthes Inflammatory e.g. JIA Neuromuscular e.g. Cerebral Palsy Developmental e.g. DDH, leg length discrepancy M.A. &amp; M-J.S. 13-04-23<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4268,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[764],"class_list":["post-4091","page","type-page","status-publish","hentry","category-https-apps-testing28-scot-nhs-uk-refhelp-guidelines-limp"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/paediatric\/paediatricorthopaedics\/https-apps-testing28-scot-nhs-uk-refhelp-guidelines-limp\/\" rel=\"tag\">Limp<\/a>","rttpg_excerpt":"Limp &#8203;Information Always check the hip, if they complain of knee pain. Differential is wide and includes: Transient synovitis Septic arthritis Osteomyelitis MSK \/spinal tumour Leukemia SCFE Perthes Inflammatory e.g. JIA Neuromuscular e.g. Cerebral Palsy Developmental e.g. DDH, leg length discrepancy M.A. &amp; M-J.S. 13-04-23","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4091","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4091"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4091\/revisions"}],"predecessor-version":[{"id":22316,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4091\/revisions\/22316"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4268"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4091"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}