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A limping 6 year old child with no history of illness or trauma

Penn State Milton S Hershey Medical Center, Department of Pediatrics, H085, 500 University Drive, PO Box 850, Hershey, PA 17033, USA

Correspondence to:
Correspondence to:
Dr Rodrigues;
rrodrigues@psu.edu

Submitted 9 November 2002
Accepted 13 December 2002

Keywords: Legg-Calvé-Perthes disease; limping child

The first 150 words of the full text of this article appear below.

A 6 year old Asian-American boy was taken to a paediatrician by his parents because they noticed that he had been limping for the past week and had begun to complain of pain in his right knee. He had never previously experienced any episodes of leg pain or limping. The patient denied a history of trauma within the previous month. The history was also negative for fever, cough, cold symptoms, rash, abdominal pain, diarrhoea, paraesthesias or numbness of the extremities, or joint pain other than the right knee.

Physical examination revealed a well appearing child. His weight was at the 25th percentile but his height was below the fifth percentile. His vital signs were all within the normal range; he was afebrile. His right leg was not grossly swollen or deformed, no obvious lesions were seen, no point tenderness was localised, and he was able to bear weight. . . . [Full text of this article]