High-risk pediatric orthopedic pitfalls.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 12. Eur J Radiol. 2018 Dec;109:155-170. doi: 10.1016/j.ejrad.2018.10.022. Epub 2018 Oct 27. Imaging of the limping child. Bartoloni A(1), Aparisi Gómez MP(2), Cirillo M(1), Allen G(3), Battista G(4), Guglielmi G(5), Tomà P(1), Bazzocchi A(6). Author information: (1)Department of Imaging, IRCCS Bambino Gesù Children's Hospital, Piazza Sant' Onofrio 4, 00165 Roma, Italy. (2)Department of Radiology, Auckland City Hospital, 2 Park Road, Grafton, 1023 Auckland, New Zealand; Department of Radiology, Hospital Nueve de Octubre, Calle Valle de la Ballestera, 59, 46015 Valencia, Spain. (3)Department of Radiology, St Lukes Radiology Oxford Ltd, Oxford, UK. (4)Department of Specialized, Diagnostic, and Experimental Medicine, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, Italy. (5)Department of Radiology, University of Foggia, Viale Luigi Pinto 1, 71100 Foggia, Italy; Department of Radiology, Scientific Institute "Casa Sollievo della Sofferenza" Hospital, Viale Cappuccini 1, 71013 San Giovanni Rotondo, Foggia, Italy. (6)Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Via G. C. Pupilli 1, 40136 Bologna, Italy. Electronic address: abazzo@inwind.it. Limping is a challenging symptom in the pediatric patient as the diagnosis can range from traumatic, malformative, infectious/inflammatory and neoplastic diseases. In this paper, we propose a schematic imaging algorithm to the limping child in three different age groups (Toddler: 1-3years, child: 4-10 years; adolescent: 11-16 years) based on presence of signs of infection, any specific localization of pain, and history of trauma. In this setting, the most common imaging pitfalls are also summarised. Finally, a literature review of the main differential causes of limping in the pediatric patient is reported. Copyright © 2018 Elsevier B.V. All rights reserved. DOI: 10.1016/j.ejrad.2018.10.022