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OrthoVellum

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Paediatrics
intermediate
X-Type

Genu Valgum and Varum

Lower Limb Deformity

An 18-month-old child is referred by a paediatrician for bilateral bowed legs. The mother reports the bowing was first noticed when the child started walking at 12 months. The child is otherwise healthy with normal developmental milestones. On examination, there is symmetric bilateral genu varum with an intercondylar distance of 4cm. The child walks with a mild waddling gait but no pain or limp. Regarding genu varum in this age group:

Mark each as TRUE or FALSE

A

Physiological genu varum is common in children under 2 years of age; it typically resolves spontaneo...

B

Blount disease (tibia vara) is a pathological cause of genu varum caused by growth disturbance of th...

C

All cases of genu varum in toddlers require immediate surgical intervention; hemiepiphysiodesis is n...

D

Radiographic assessment includes standing AP radiographs of both lower limbs; the metaphyseal-diaphy...

E

Risk factors for Blount disease include obesity, early walking, and African ancestry; differential d...

Answer the questions to see explanations

Click T (True) or F (False) for each option