“The Limping Child” – radiology interpretation SAQ’s

A 4-year-old boy with 1 week of right knee pain. Non weight-bearing. Tender medial femoral condyle.

a) what is/are the abnormality(ies) on the x-ray?
b) how should this be investigated further?

A 10-year-old boy, football injury, kicked ball and on swinging leg heard a pop in the right hip. Unable to weightbear, right leg externally rotated.
a) What is/are the abnormality(ies) on the X-ray?

ED scenario (request for X-ray):

A 6-year-old girl with 1 week of pain in left hip. No history of trauma.

a) what is/are the abnormality(ies) on the x-ray?
b) what is the diagnosis?

A 15-year-old boy with a history of hip pain, increasing, now swollen left anterior thigh and groin.

a) what is/are the abnormality(ies) on the x-ray?

b) what is the likely diagnosis?

ED scenario: A 12 year old girl with 2 weeks of pain in the left hip and knee, gradually worsening. Limping. Painful, restricted internal rotation.

a) what is the diagnosis?
b) how do you assess this on the x-ray?

13-year-boy, painful right ankle after fall from trampoline. Not able to weight bear.
a) what is/are the abnormality(ies) on the x-ray?
b) Describe the categories of the Salter Harris classification, (using diagrams).

A 2-year-old boy, fallen from slide, non weight-bearing, painful left lower leg.

a) What is the x-ray abnormality?
b) What is this type of injury called and what are its characteristics?

A 6 year old girl, fallen from scooter, painful left ankle, not weight-bearing.
a) What abnormality is seen on the x-ray?

A 13-year-old boy, inversion injury to right foot playing football, painful lateral border.

a) What abnormality is seen on the x-ray?
b) What is the management of this injury?

A 15-year-old runner with pain over the forefoot for the last week which started when running.

a) What is/are the abnormality(ies) seen on the x-ray?