Intended for healthcare professionals

Endgames Case Review

A child with a painful limp

BMJ 2019; 365 doi: (Published 08 May 2019) Cite this as: BMJ 2019;365:l1349
  1. Adam M Ali, orthopaedic SpR,
  2. Ali Hani, orthopaedic SpR,
  3. Htwe Zaw, orthopaedic consultant
  1. The Hillingdon Hospitals NHS Foundation Trust, London, UK
  1. Correspondence to A Ali adamali{at}

A 10 year old boy presented to the paediatric emergency department with a one week history of a limp and increasing pain in his left thigh. He first noticed this while running at school. Over the following week his pain worsened and began to affect his knee. He had no history of hip, knee or lower back pain, was otherwise well and had no known medical conditions. On examination he was able to weight bear fully but with an antalgic gait. Internal rotation of the left …

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