The Limping child.

The  child who presents with a limp should always be thoroughly assessed and treated.

 

Some conditions that present with a limping child include Perthes' Disease and Kohler's Disease.

Perthes' Disease occurs in children between the ages of 4 and 10 years. It is caused by reduced blood flow to the femoral head. As well as the limp, the child may also complain of thigh, groin or knee pain.

The concerns with undiagnosed cases of Perthes' disease is the femoral can become flattened and result in osteoarthritis in later years.

Kohler's Disease also presents as a limping child or a child who refuses to weight-bear. It occurs in children between the ages of 2 and 8 years of age and typically presents with a painful midfoot with swelling, warmth and tenderness to touch. The foot is commonly pronated.

The navicular bone which is the last bone of the foot to ossify becomes traumatised  and reduced blood flow to the bone occurs.

Appropriate treatment includes rest and foot support to hasten healing time.

These are just two conditions of the foot and leg that may present as a limp in children. We encourage prompt assessment for rapid recovery.