acute limping

Particularly young children, present to the orthopaedic surgeon with a sudden onset of limb or reluctance to weight bear. In the majority of the cases this is related to transient synovitis which follows a viral illness and settles down with no specific treatment. This often needs to be differentiated from musculoskeletal infections which often affect children. Musculoskeletal infections typically occur at the end of growing bones where the blood supply is slow. They can potentially spread into the joint and, if left untreated, can result in long-term destruction of joints and disability. Dr Zenios has published a number of papers on musculoskeletal infections and is experienced in the early diagnosis of these infections. Osteomyelitis tends to be treated with antibiotics, whereas septic arthritis with washout which is then followed up by a course of antibiotics.