In this section
This guideline has been adapted for statewide use with the support of the Victorian Paediatric Clinical Network
Toddler (1-4 years)
Child (4-10 years)
Adolescent (>10 years)
Unless suspecting a specific diagnosis, investigations are usually not required in children with limp
<3 days duration.
Discuss with senior staff, then consider:
Imaging may demonstrate:
Specific management depends on diagnosis.
Ensure adequate analgesia.
For advice and inter-hospital (including ICU level) transfers ring the Sick Child Hotline: (03) 9345 7007
Information Specific to RCH
If admission required, admit under Orthopaedics for septic joint, Perthes, SUFE or DDH.
Patients with discitis or osteomyelitis can be admitted under General Medicine.
Additional Notes - specific causes of Hip Pain
Transient synovitis is a diagnosis of exclusion. Symptoms overlap with those of septic arthritis. If diagnosis in doubt, consult with orthopaedics.
Slipped Upper Femoral Epiphysis
Last updated December 2012