TREATMENT PLAN, PROGNOSIS, KEY INFORMATION & EXTRA’S

TREATMENT PLAN

Urgent referral required for:

• Red flag symptoms
• Fever
• Suspected maltreatment
• SUFE
• Positive X-ray findings

Conservative management for:

• Osgood-Schlatter: rest
• Sever’s disease: usually resolves in 2 weeks or months

PROGNOSIS

DDH: risk of long-term hip pain and OA if untreated

Osgood-Schlatter: self-limiting, resolves with growth

Severs: self-limiting

KEY INFORMATION

• Prompt diagnosis is crucial for SUFE to prevent avascular necrosis
• Consider safeguarding in unexplained presentations
• Night pain suggests serious pathology
• Age-specific approach is essential for diagnosis

EXTRA’S

SUFE may be linked with endocrine abnormalities, including hypothyroidism Discitis in neonates: presents with back arching during nappy changes.

ACUTE CHILDHOOD LIMP
Acute Childhood Limp