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Slovenska pediatrija 2019; 26: 196-200


Case report

A LIMPING CHILD WITH A BENIGN BONE TUMOUR

Blaž Šetina
Splošna bolnišnica Jesenice, Oddelek ortopedske kirurgije, Jesenice, Slovenija

Karin Schara
Oddelek otroške ortopedske kirurgije Ortopedska klinika Univerzitetni klinični center Ljubljana Zaloška cesta 9, 1000 Ljubljana, Slovenija

Abstract

A limping child is a frequent clinical presentation in both paediatric and orthopaedic surgery practice, with wide pos­sible aetiology. Sometimes it is only a phase in the normal course of a child‘s gait development. In early childhood clin­ical evaluation of limping may present a diagnostic chal­lenge, particularly when the child begins to gain walking abilities and has not yet mastered all the movement pat­terns. Bone tumours, both benign and malignant, are rare in early childhood. In order to detect these cases, a precise medical history and clinical examination with imaging and laboratory diagnostics is crucial. Majority of bone chang­es can be detected by a simple X-ray image alone, but in order to confirm the diagnosis and decide upon the treat­ment, additional radiological examinations as well as bone biopsies may be needed. Treatment is planned individually.

Key words: gait, bone neoplasms, fracture, spontaneous


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