Refusal to walk in an afebrile well toddler

Answers on p 570 . A 19 month old well boy presented with a week’s history of refusal to walk unsupported and favouring crawling. He had been increasingly unsteady during the preceding three weeks and appeared to be in pain during nappy changes when both legs were held flexed and abducted at the hips. There was no recent feverish illness or trauma. Bowel and bladder function was normal. His development had been age appropriate to date. He walked unsupported at 1 year of …