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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : -59 مورد

Causes of limp by gait abnormality in children

Causes of limp by gait abnormality in children
Type of limp Characteristics Possible etiology
Antalgic gait Most common; short-stance phase caused by pain in the weight-bearing extremity
  • Fracture (including toddler or Salter I fracture)
  • Unilateral slipped capital femoral epiphysis
  • Apophysitis
  • Soft tissue injury
  • Transient synovitis
  • Osteomyelitis
  • Septic or other arthritis
  • Osteochondritis dissecans
  • Hemarthrosis
  • Vasoocclusive crisis
  • Bone pain (leukemia, benign or malignant bone tumor)
  • Foot foreign body
  • Painful foot lesions (eg, plantar wart, hand-foot-mouth disease, or immunoglobulin A vasculitis [Henoch-Schönlein purpura])
Trendelenburg gait Downward pelvic tilt during the swing phase caused by weakness or spasm in the contralateral gluteus medius muscle
  • Legg-Calvé-Perthes
  • Unilateral slipped capital femoral epiphysis (moderate to severe chronic slip)
  • Developmental dysplasia of the hip
  • Juvenile dermatomyositis
Steppage gait Seen with a foot drop; presents with exaggerated hip and knee flexion during the swing phase to clear the dropped foot from the floor
  • Peroneal nerve compression or trauma
  • Neurologic diseases which cause loss of dorsiflexion of the ankle (eg, Charcot-Marie-Tooth disorder)
Toe-walking gait Child walks on their toes caused by heel pain or by increased flexor muscle tone in the lower leg
  • Mild cerebral palsy
  • Sever disease
  • Heel foreign body
  • Acute calf myositis (influenza A)
  • Idiopathic
  • Tethered spinal cord
Vaulting gait The knee is hyperextended and locked at the end of the stance phase of the gait and the child vaults over the extremity
  • Limb length discrepancy
  • Abnormal knee mobility (eg, juvenile idiopathic arthritis)
Stooping gait Patient shuffles with hip flexed due to irritation of the psoas muscle by intraabdominal inflammation
  • Appendicitis
  • Pelvic inflammatory disease
  • Psoas muscle abscess
For a description of the normal pediatric gait cycle, refer to UpToDate topics on limp in children.
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