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A 14-Year-Old Boy Who Is Overweight Develops a Unilateral Limp

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A 14-year-old boy who is overweight develops a unilateral limp with pain in the hip and knee on the affected side. An exam reveals external rotation of the hip when flexed and pain associated with attempts to internally rotate the hip. What is most important initially when managing this child's condition?


Definitions:

Shirley Temple

An American actress, singer, dancer, and diplomat who became a famous child star in the 1930s.

Punishment

Punishment involves imposing a penalty or negative consequence on an individual or group in response to an undesirable action or behavior, with the aim of reducing or eliminating that behavior.

Nagging

The act of persistently annoying or harassing someone to do something.

TV Privileges

The allowance of watching television granted as a reward or benefit, often used as a behavioral incentive.

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