The Child with a Painful Limp

  • James Robb


By school age, children will have acquired an adult walking pattern but will still have a faster cadence (steps per minute) and slower velocity than an adult, and any deviation in the gait from the adult pattern should be regarded as a limp. In this age group, a painful limp must be investigated carefully as the causes include potentially serious conditions such as trauma, infection, inflammation, and tumor. A careful history may often point to the diagnosis. Children in this age group are usually good historians.


Cerebral Palsy Duchenne Muscular Dystrophy Duchenne Muscular Dystrophy Lower Limb Pain Antecedent Trauma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 31.1

Child with leukemic deposits in spine picking up an object from the floor (MP4 1209 kb)

Video 31.2

Gait pattern in a child with leukemic deposits in the spine (MP4 2588 kb)


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Copyright information

© Springer India 2015

Authors and Affiliations

  • James Robb
    • 1
  1. 1.OrthopaedicUniversity of St AndrewsScotlandUK

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