Abstract

Limp is a common presentation to the emergency department (ED), and although it is frequently related to a single traumatic episode, the differential diagnosis for limp is wide. Although trauma and transient synovitis are the most common causes of limp presenting to the ED, less common but potentially significant causes of atraumatic limp (septic arthritis, osteomyelitis, solid tumour, leukaemia, slipped upper femoral epiphysis, inflammatory arthritis or neurological causes) should also be considered and where necessary ruled out. The key to correct diagnosis is a thorough history, a skilled physical examination and judicious choice of investigations.

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