Genu varum
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| Genu varum | |
|---|---|
| Synonyms | Bow-leggedness, bandy-leg, tibia vara |
| Pronounce | N/A |
| Specialty | Orthopedics |
| Symptoms | Outward bowing of the legs |
| Complications | Knee pain, osteoarthritis |
| Onset | Childhood |
| Duration | Can persist into adulthood if untreated |
| Types | N/A |
| Causes | Physiological, rickets, Blount's disease, bone dysplasia |
| Risks | Obesity, vitamin D deficiency |
| Diagnosis | Physical examination, X-ray |
| Differential diagnosis | Genu valgum, Blount's disease, rickets |
| Prevention | N/A |
| Treatment | Bracing, surgery, vitamin D supplementation |
| Medication | N/A |
| Prognosis | Good with treatment |
| Frequency | Common in toddlers, less common in older children |
| Deaths | N/A |
Genu varum
Genu varum, commonly known as bow-leggedness, is a physical deformity marked by outward bowing of the lower leg in relation to the thigh, giving the appearance of an archer's bow. This condition is characterized by a gap between the knees when the ankles are together.
Causes
Genu varum can be caused by a variety of factors, including:
- Physiological bowing in infants and toddlers, which often corrects itself as the child grows.
- Blount's disease, a growth disorder of the shin bone (tibia).
- Rickets, a condition caused by vitamin D deficiency leading to softening and weakening of the bones.
- Osteoarthritis, which can lead to joint deformities.
- Bone dysplasia, a group of disorders affecting bone growth and development.
Diagnosis
Diagnosis of genu varum typically involves:
- A physical examination to assess the alignment of the legs.
- X-ray imaging to determine the degree of bowing and to identify any underlying bone abnormalities.
- Blood tests to check for conditions like rickets or other metabolic disorders.
Treatment
Treatment for genu varum depends on the underlying cause and the severity of the condition. Options include:
- Observation and regular monitoring in cases of physiological bowing.
- Bracing or orthotic devices to help correct the alignment in children.
- Surgery, such as osteotomy, to realign the bones in severe cases or when conservative treatments fail.
- Addressing underlying conditions like rickets with appropriate medical treatment.
Prognosis
The prognosis for genu varum varies depending on the cause and the effectiveness of the treatment. Physiological bowing often resolves on its own, while other causes may require medical intervention to prevent complications and improve leg alignment.
See also
References
External links
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Contributors: Prab R. Tumpati, MD
