Clinical Case Database / Category: Patient Management

Childhood limp: a delayed presentation

Publication details

Sandip Mandal, Ashis Banerjee, David Mbamalu, Mr Jeroen G.V. Neyt
Foundation Years Journal, volume 7, issue 10, p.26 (123Doc Education, London, November 2013)

Abstract

A case of delayed presentation of an important cause of painless limp in a 14-month-old child is described. The differential diagnosis is mentioned, and risk factors for the condition are discussed.

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Authors

Sandip Mandal

Specialty doctor
Chase Farm Hospital
The Ridgeway
Enfield
EN2 8JL

Ashis Banerjee

Consultant /honorary senior lecturer
Chase Farm Hospital
The Ridgeway
Enfield
EN2 8JL
libra19542003@yahoo.co.uk

David Mbamalu

Consultant
Chase Farm Hospital
The Ridgeway
Enfield
EN2 8JL

Mr Jeroen G.V. Neyt

Consultant paediatric orthopaedic surgeon
Chase Farm Hospital
The Ridgeway
Enfield
EN2 8JL

References

1. Ilfeld FW, Weston, GW, Makin M. (1986) Missed or developmental dislocation of the hip. Clin Orthop, 203: 278-281.
2. Godward S, Dezateux C. (1998) Surgery for congenital dislocation of the hip in UK as a measure of outcome of screening. MRC Working Party on Congenital Dislocation of the Hip. Lancet, 351:1149-1152.
3. Mackenzie IG, Wilson JG. (1981) Problems encountered in the early diagnosis and management of congenital dislocation of the hip. J Bone Joint Surg, 63B: 38-42.
4. Committee on Quality Improvement, American Academy of Pediatrics (2000) Clinical practice guidelines: early detection of developmental dysplasia of the hip. Pediatrics 105:896-899.
5. Sharpe P, Mulpuri K, Chan A, Cundy PJ. (2006) Differences in risk factors between early and late diagnosed developmental dysplasia of the hip. Arch Dis Child Fetal Neonatal Ed, 91: F158-F162.

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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