The limping or non-weight bearing child was an existing Victorian CPG that has been revised then reviewed by CPG Committee members. It will be considered for PIC endorsement on 27 August.

Key Points

1. Most children presenting with a limp do not require investigations
2. Observing the child’s gait may help localise the problem and narrow the differential diagnosis
3. Acute inability to walk or weight-bear is a red flag
4. Septic arthritis is an orthopaedic emergency and should be considered in all limping children with severe localised joint pain and fever