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Titolo:
The limping child: epidemiology, assessment and outcome
Autore:
Fischer, SU; Beattie, TF;
Indirizzi:
Royal Hosp Sick Children, Dept Accid & Emergency, Edinburgh EH9 1LF, Midlothian, Scotland Royal Hosp Sick Children Edinburgh Midlothian Scotland EH91LF , Scotland
Titolo Testata:
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME
fascicolo: 6, volume: 81B, anno: 1999,
pagine: 1029 - 1034
SICI:
0301-620X(199911)81B:6<1029:TLCEAA>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSIENT SYNOVITIS; IRRITABLE HIP; PERTHES-DISEASE; DIFFERENTIAL-DIAGNOSIS; HOSPITAL ADMISSION; LABORATORY TESTS; MANAGEMENT; ARTHRITIS; PAIN;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Beattie, TF Royal Hosp Sick Children, Dept Accid & Emergency, Sciennes Rd,Edinburgh EH9 1LF, Midlothian, Scotland Royal Hosp Sick Children Sciennes Rd Edinburgh Midlothian Scotland EH9 1LF
Citazione:
S.U. Fischer e T.F. Beattie, "The limping child: epidemiology, assessment and outcome", J BONE-BR V, 81B(6), 1999, pp. 1029-1034

Abstract

We investigated the epidemiology, assessment and outcome of acute atraumatic limp in 243 children under the age of 14 years presenting to a paediatric accident and emergency department (AED) over a period of six months. Datawere collected at presentation and medical notes were re-examined after 18to 21 months. The incidence of limp was 1.8 per thousand. The male:female ratio was 1.7:1 and the median age 4.35 years. Limp was mainly right-sided (54%) and painful (80%); 33.7% of the children had localised pain in the hip. A precedingillness was found in 40%, The main diagnosis was 'irritable hip'/transientsynovitis (39.5%); Perthes' disease accounted for 2%, Most patients (77%) were managed entirely in the AED. Acute atraumatic limp is a common problem in children presenting to the AED, Most can be safely managed there if guidelines are followed and will have a benign outcome. Further studies are needed to identify the role of preceding illness in the aetiology of acute atraumatic limp.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 04:20:58