leg cramps

Check out the difference in lower leg circumference in this poor nine year old girl. Her mother brought her in because she "refused to walk for two weeks." The poor thing had been hobbling around on this after a "fall" and it wasn't until the leg became gigantic that her mother brought her in. On exam, the leg was warm to the touch and fluctuant. The xray showed no fracture and no osteomyelitis (which is what we had originally feared) so we started her on antibiotics and she was sent to surgery Saturday morning to have the abscess drained.