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until improvement is noted or a cause is determined. If the limp persists beyond 1
to 2 weeks without a diagnosis, further workup or consultation with a specialist is
indicated.
Suggested Readings and Key References
Bartolini A, Aparisi Gomez MP, Cirillo M, et al. Imaging of the limping child.
Euro J Radiol 2018;109:155–170.
Cruz CI, Vieira RL, Mannix RC, et al. Point-of-care hip ultrasound in a pediatric
emergency department. Am J Emerg Med 2018;36(7):1174–1177.
Mitchell PD, Viswanath A, Obi N, et al. A prospective study of screening for
musculoskeletal pathology in the child with a limp or pseudoparalysis using
erythrocyte sedimentation rate, C-reactive protein and MRI. J Child Orthop
2018;12(4):398–405.
Principi N, Esposito S. Kingella kingae infections in children. BMC Infect Dis
2015;15:260. doi:10.1186/s12879-015-0986-9.
Roderick MR, Shah R, Rogers V, et al. Chronic recurrent osteomyelitis (CRMO)
—advancing the diagnosis. Pediatr Rheumatol Online J 2016;14(1):47.
Safdar NM, Rigsby CK, Iyer RS, et al. ACR Appropriateness Criteria® acutely
limping child up to age 5. J Am Coll Radiol 2018;15(11S):S252–S262.