Summary
Definition
History and exam
Key diagnostic factors
- presence of risk factors
- limited movement
- pain
- limp
- positive log roll
Risk factors
- 2 to 12 years of age
- male sex
- history of recent upper respiratory infection
Diagnostic investigations
1st investigations to order
- FBC
- erythrocyte sedimentation rate
- CRP
- x-ray
Treatment algorithm
Contributors
Authors
James McCarthy, MD
Division Director
Department of Orthopaedic Surgery
Alvin H. Crawford Chair of Pediatric Orthopaedic Surgery
Professor
University of Cincinnati Department of Orthopaedic Surgery
Cincinnati Children’s Hospital Medical Center
Cincinnati
OH
Disclosures
JM is a board member for the Pediatric Orthopaedic Society of North America. He has given workshops at annual teaching meetings for DePuy Synthes, received royalties from Lippincott Williams & Wilkins for editing a book, and received grant and travel money from Nuvasive.
Jaime Denning, MD
Assistant Professor
Orthopaedic Surgery
Cincinnati Children’s Hospital Medical Center
Cincinnati
OH
Disclosures
JD declares that she has no competing interests.
Peer reviewers
Norm Otsuka, MD
Assistant Chief of Staff
Shriners Hospital for Children
Los Angeles
CA
Disclosures
NO declares that he has no competing interests.
Michael Smith, MB, BChir, FRCS
Consultant Orthopaedic Surgeon
Department of Orthopaedics
Guy's & St Thomas' Hospital
London
UK
Disclosures
MS declares that he has no competing interests.
Peter Cundy, MBBS, FRACS
Head of Orthopaedic Surgery
Women's & Children's Hospital
Adelaide
Australia
Disclosures
PC declares that he has no competing interests.
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