Avascular necrosis of the hip steroids

The “limping child” is commonly encountered in the ED, and while we may consider the common entities like Osgood Schlatter’s Disease , the potential issues that lead to a child limping are vast. Certainly we concern ourselves with weighing Toxic Synovitis versus Septic Arthritis . Some kids would be at risk for osteomyelitis , while others may be suffering from Legg-Calve-Perthes Disease . Obviously, we cannot forget fractures (ex, Toddler’s Fracture ) or SCFE … while also considering issues “outside” of the leg – Appendicitis , PID , Epididymitis ,  Ovarian Torsion , Testicular Torsion , or  Acute Cerebellar Ataxia . After an extensive review of your Ddx list, you may be inclined to call it “ Growing Pains ,” but before you do, consider avascular necrosis in the foot… and Kohler’s Disease :

Avascular necrosis of the hip steroids

avascular necrosis of the hip steroids

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