pediatrics
Genu Varum (Bowlegs) and Genu Valgum (Knock Knees)
Genu varum
Genu varum is common among toddlers and usually resolves spontaneously by age 18 months. If it persists or becomes more severe, Blount disease (tibia vara) should be suspected, and Hypophosphatemic Rickets and other metabolic bone diseases should also be ruled out. is due to a growth disturbance of the medial aspect of the proximal tibial growth plate; genu varum and Tibial Torsion may occur. Blount disease may occur in early childhood or in adolescence (when it is associated with overweight). Early diagnosis of Blount disease is difficult because x-rays may be normal; the classic x-ray finding is angulation (beaking) of the medial metaphysis. Early use of splints or braces can be effective, but surgery with or without an external fixator is often needed. 