Coxa Vara
Decrease in angle of head and neck to shaft of femur (<125 degrees). Thought to be due to a defect in ossification/development of femoral neck. Bilateral in up to 50%. Usually present between ages 2 to 6. Lurching/waddling gait type gait that is not painful – may just be a limp if unilateral. Abduction and internal rotation of leg is restricted. Genu valgum is common.
Classification:
1) Congenital
2) Proximal femoral foral deficiency (PFFD)
3) Acquired (eg #, rickets; SCFE)
4) Development
Surgical management indicated if significant/severe.
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