Children presenting with joint pain are not uncommon – approximately 5% of all paediatric emergency department encounters are due to atraumatic childhood limp. The majority of these cases are benign and self-limiting; however, a thorough history, examination and selection of appropriate investigations are required in order to exclude rare, serious, and life-threatening underlying pathological conditions. This review article proposes a structured approach to the limping child, risk stratifies disease based on age, radiological and laboratory findings, and provides a standardized algorithm to expedite diagnosis and ensure safe clinical management.
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