In this section
The acutely swollen joint
Fractures Osteomyelitis / Septic Arthritis
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.
If admission required, admit under Orthopaedics for septic joint, Perthes, SUFE or DDH.
Patients with discitis or osteomyelitis can be admitted under General Medicine.
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