Gowers' sign in a two year old boy
A two year old boy came with his parents to our ED. Almost three months prior the boy had a coxitis fugax (clinicial diagnosis, no ultrasound performed) and since then his gait pattern has changed with spread legs, not able to run and when he stands up he uses his hands to push on his legs (gowers’ sign). No pain, no fever, good general condition.
In the examination you can confirm the parent’s impressions, the hip movement is normal and you can locate no swelling or pain, the reflexes are symmetrical.
The blood results show normal blood count, normal CRP and normal creatine kinase.