Although a toddler falls a lot; Because the bones are more elastic, fractures are rare.
This fracture may cause a spiral-shaped crack in the tibia, causing difficulty in diagnosis. If there is no trauma, the disease called 'Transient Synovitis' (Toxic Synovitis) most commonly causes lameness in children aged 1-5. In children, viral upper respiratory tract infections such as influenza affect the hip joint. The child did not experience a fall or trauma. His family does not give a history of trauma either. However, when investigated, it may be determined that the child has had a flu infection or upper respiratory tract infection as recently as the last 3 weeks.
Claudication develops as a result of the involvement of intra-articular tissues (synovitis) caused by the toxins of viruses, resulting in increased fluid in the hip joint. Fever is either absent or mild.
On clinical examination, turning the hip in and out is painful. Radiology and laboratory tests are normal; A slight increase in joint fluid and lymphocytes is observed in the hip.
Rest and painkillers may be recommended for the treatment of limping. The disease goes away on its own within 1 week. However, a limping child should definitely be taken to an orthopedist.
Because a fracture or dislocation following an overlooked trauma may cause limping and the child crying while walking. In addition, the hip joint is infected with bacteria; Acute septic arthritis, which is quite severe with symptoms such as high fever, weakness and redness in the joints, is also common in this age group.
Apart from this, childhood rheumatoid joint involvement (juvenile rheumatoid arthritis) and bone tumors can also cause lameness in this age group. . For these reasons, the sign of limping in children between the ages of 1 and 5 should never be ignored.
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