The Boy With the Limp That Spoke Louder Than Pain

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Arjun was 9, shy and soft-spoken. He came in with a limp that had developed over three weeks. His parents thought he was faking it to avoid soccer practice. He didn’t complain of pain, but the limp persisted.

On examination, he had limited internal rotation and abduction of his left hip. An X-ray revealed a slipped capital femoral epiphysis (SCFE). It was stable, but delayed. We immediately arranged surgical pinning in situ.

Later, his father said, “We never thought it was real—until it was too real.”

Arjun recovered well, but the delay left him with residual deformity.


The Lesson Learned

A painless limp in a child is never normal. Always examine hips carefully—especially when complaints are vague or absent.

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