The Mystery of a Child’s Limp

A 4-year-old boy presents with hip pain and a limp, but no Trauma or fever. Explore the diagnostic process for this common pediatric orthopedic issue.

Legg–Calvé–Perthes disease


A 4-year-old boy was brought to the orthopedic clinic with a 2-day history of pain in the right hip and limping. There had been no preceding trauma or fever. Physical exam showed normal hip range of motion and an antalgic gait favoring the right side. A radiograph of the pelvis was performed. What is the most likely diagnosis?

What is the most likely diagnosis?

Legg–Calvé–Perthes disease
Juvenile idiopathic arthritis
Osteoid osteoma
Septic arthritis
Slipped capital femoral epiphysis

Avascular Necrosis, Hip Pain, Legg–Calvé–Perthes disease, Limping, Pediatrics

Leave a Comment