Limp is an abnormal gait and can result from congenital, infectious, inflammatory, traumatic, neoplastic or congenital causes. It can primarily involve the spine, hips/pelvis, abdomen, or musculoskeletal and soft tissues. Certainly you should start with an appropriately thorough H&P. Make sure to ask about: Fever and other symptoms associated with infections Trauma Systemic symptoms (pale skin, fatigue, easy/abnormal bruising and/or [...]
You are seeing a six year old with a type III supracondylar fracture of the humerus. He fell on his outstretched arm while playing on some monkey bars. He has some mild difficulty flexing his thumb when he makes a fist. Where is his neurapraxia? Answer: The Anterior Interosseous Nerve It is the most common nerve injured in extension type [...]
In children 10 years of age and under 90% of clavicle fractures occur in the middle third, 60 percent of which are nondisplaced. Above age 10, the majority are displaced (as is the case in adults). Immobilization with sling and swathe for 3-4 weeks is generally sufficient for most uncomplicated fractures in prepubertal children. An open fracture should be suspected [...]
