Blount’s Disease/Infantile or Pathological Tibia Vara
Growth disturbance of metaphyseal region of posterior medial aspect of proximal tibia severe tibial varum and bow leg deformity. Cause is unknown but could be related to repeated trauma to epiphysis from walking on a knee with mild to moderate varus alignment. Usually bilateral and associated with internal tibial torsion.
X-ray’s show metaphyseal diaphyseal angle of >11 degrees and localised deformity of proximal tibia.
Management:
Orthoses locked knee brace with pelvic band to control rotation. Night splints are ineffective
Surgical if not correcting and severe. Options include physeal arrest and tibial osteotomy
http://www.ncbi.nlm.nih.gov/pubmed/24817156?dopt=Abstract
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