Limp / Extremity pain
Growing pains
Juvenile idiopathic arthritis
Legg Calve Perthes disease
Osgood Schlatter disease
Osteomyelitis
Post-infectious arthritis
Reactive arthritis
Rheumatic fever
Septic arthritis
Slipped capital femoral epiphysis
Transient synovitis
Trauma / injury
Growing Pain / benign nocturnal limb pain of childhood
- Identify the basic anatomy and physiology of the musculoskeletal system
- Describe the growth and development of bones, joints, and surrounding soft tissues
- Describe the components of normal gait
- Explain the infectious and non-infectious causes of musculoskeletal pain and inflammation
- Define innate and humoral immunity and describe the pathophysiology of autoimmune diseases
- Summarize the process of repair and healing of musculoskeletal injury
- Describe the basic principles of pharmacology used in the management of inflammation and pain
Overview & Foundational Knowledge
| The limping child
https://doi.org/10.1542/pir.36-5-184 Herman MJ, Martinek M. The limping child. Pediatr Rev. 2015 May;36(5):184-95; quiz 196-7. doi: 10.1542/pir.36-5-184. PMID: 25934907. |
| CPS Statement: Diagnosis and management of acute osteoarticular infections in children
https://cps.ca/documents/position/osteoarticular-infections-in-children Posted: Jul 18, 2018 | Reaffirmed: Jan 11, 2024 |
| Juvenile Idiopathic Arthritis for the General Practitioner
https://doi.org/10.1542/pir.2021-005456 Alexandra Theisen, MD, MS; Stacey E. Tarvin, MD, MS Pediatr Rev (2023) 44 (3): 153–164. |
Clinical Resources
| Growing Pains Are Normal Most Of The Time |
Virtual Patients or Cases
| Gill P, MacPherson P, LeBlanc C, Ellsworth J PedCases- A Learning Module for Evaluation of a Pediatric Limp for Medical Students. MedEdPORTAL 2010.
https://www.mededportal.org/publication/7910 Audio podcast on the evaluation of the child with a limp. Includes nine cases on the pediatric patient with a limp. Available online through MedEdPORTAL. |
| University of Alberta Pedscases
Access through https://www.pedscases.com/knee-pain-6-year-old-male Case based quiz on joint pain in a child. |
Cards
| Limp
Canuc-Paeds physician authored, replayable cases |
