The Limping Child course for GPs
This session considers the assessment, examination and treatment of limps in children. Red flag symptoms are described along with an overview of the consequences of a late diagnosis of conditions such as septic arthritis, Perthe’s disease, slipped capital femoral ephiphysis and inflammatory arthritis.
This session was reviewed by Khyati Bakhai and last updated in September 2019.
Learning Objectives
By the end of this session you will be able to:
- Identify salient features in the history and examination of a limping child
- Recognise red flag symptoms and signs in a limping child
- Describe the consequences of late diagnosis of limp due to septic arthritis, Perthe’s disease, slipped capital femoral epiphysis and inflammatory arthritis
Management of children without any sinister features requires a clear explanation, reassurance, symptom relief and a plan for review if symptoms fail to resolve.
Iain is a Consultant Rheumatologist, General Practitioner and Clinical Lecturer based in Northumbria.
He has been Training Programme Director at Health Education England North East since 2016.
Helen Foster has been a Professor of Paediatric Rheumatology at Newcastle University since 2001 and moved to Newcastle University Medicine, Malaysia in 2018. She is also an Honorary Consultant at Newcastle Hospitals NHS Trust. She trained initially in adult rheumatology and susequently paediatric rheumatology with a clinical fellowship in Vancouver, Canada.
Helens academic work, including research and teaching, has always maintained a strong clinical focus and aims to improve access to care for children with arthritis. Helen has numerous collaborations to explore barriers to care and educational strategies to facilitate early recognition of childhood arthritis. She is very involved with teaching at both undergraduate and postgraduate level and has developed articles and e-resources including the pGALS musculoskeletal screening examination, which is now widely taught at medical schools.
Helen is Chair of the Royal College for Paediatrics and Child Health Specialist Advisory Committee for rheumatology, including responsibility for postgraduate training in paediatric rheumatology, is a member of the British Society for Paediatric and Adolescent Rheumatology Executive and has contributed to the clinical guidelines and standards of care to promote high quality clinical services.
She is member of the UK (arc/MCRN) Paediatric Rheumatology Clinical Studies Group steering committee to develop the clinical research strategy within the speciality.
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