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Genu Valgum



Category Orthopaedic Care

What is Genu Valgum?

Genu Valgum

An abnormality where the lower extremities turn inward, causing the appearance of the knees to be touching while the ankles remain apart.

What are the symptoms?

Besides deformity, knee pain is the most common complaint.

Other associated features may include an out-toed gait and lateral patellar subluxation.

Genu valgum may appear worse clinically than radiographically.

What investigations are required?

  1. Blood investigations to rule out any other pathologic conditions or

          metabolic derangements.

      2.  X-ray of both hips to the knee is also required.

What are the causes of genu valgum?

Metabolic bone diseases such as rickets, skeletal dysplasias, or trauma (physealinjury)

How is genu valgum managed?

Physiologic knock-knee is expected to spontaneously resolve and therefore managed conservatively with observation.

Surgical options to manage genu valgum include hemiepiphysiodesis and osteotomy. Hemiepiphysiodesisis used if the patient is skeletally immature while osteotomy can be performed when immediate correction of the valgus deformity is desired or if the patient is skeletally mature.

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