SAQ 1786 – Atraumatic limp in a young child

Marked out of 10.00

A 3.5-year-old boy presents with his mother with a painful left leg and a limp for four days. There is no history of fall or trauma. He holds the left leg slightly flexed and cannot weight bear. Observations are pulse 95/min, BP 90/60 mmHg, RR 22/min, oxygen saturation 97% on air and temperature 37.1 C. A pelvic X-ray is shown below.

Pelvic X-ray for a young child with atraumatic limp
Pelvic X-ray.

Describe the X-ray abnormality.

(Marked out of 1.0)


/ 1

State the most likely diagnosis.

(Marked out of 1.0)


/ 1

List eight important causes of atraumatic limp in a child of this age.

(Marked out of 4.0)


/ 4

List the four Kocher assessment parameters most useful for suspected septic arthritis of the hip.

(Marked out of 4.0)


/ 4

Total Score: 0 / 10

Percentage: 0%