Name = PAGENAME
Caption = X-Ray of the legs in a 2 year old child with rickets
DiseasesDB = 29404
ICD10 = ICD10|Q|68|3|q|65-ICD10|Q|68|5|q|65, ICD10|Q|74|1|q|65
ICD9 = ICD9|755.64 congenital; ICD9|736.42 acquired
MedlinePlus = 001585
Genu varum (also called bow-leggedness or bandiness), is a
deformitymarked by medial angulationof the leg in relation to the thigh, an outward bowing of the legs, giving the appearance of a bow. It is also known as bandy-leg, bowleg, bow-leg, and tibia vara. Usually there is an outward curvature of both femurand tibia. "Genu varum" is distinguished from "Blount's disease" because it involves both the femur and the tibia, while "Blount's disease" affects only the tibia with no femur involvement.
Children until the age of 3 to 4 have a degree of Genu Varum. The child lies on its nurse's knee with the soles of the feet facing one another; the
tibiaand femurare curved outwards; and, if the limbs are extended, although the ankles are in contact, there is a distinct space between the knee-joints. During the first year of life a gradual change takes place. The knee-joints approach one another; the femurslopes downward and inward towards the knee joints; the tibiabecome straight; and the sole of the footfaces almost directly downwards.
While these changes are occurring, the bones, which at first consist principally of
cartilage, are gradually becoming ossified. By the time a normal child begins to walk the lower limbs are prepared, both by their general direction and by the rigidity of the bones which form them, to support the weight of the body.
If a child is sickly, either with
ricketsor suffering from any ailment that prevents the due ossification of the bones, or is improperly fed, the bowed condition may remain persistent. Thus the chief cause of this deformity is rickets. Skeletal problems, infection, and tumors can also affect the growth of the leg, sometimes giving rise to a one-sided bow-leggedness. The remaining causes are occupational, especially among jockeys, and from physical trauma, the condition being very likely to supervene after accidents involving the condyles of the femur.
In most cases persisting after childhood, there is little or no effect on the ability to walk. Due to uneven stress and wear on the knees, however, even milder manifestations can see an accelerated onset of
arthritis. Those with bowlegs and a genetic predisposition for developing arthritis will likely start having arthritic symptoms around age 30.
Generally, no treatment is required for idiopathic presentation as it is a normal anatomical variant in young children. Treatment is indicated when its persists beyond 3 and half years old, Unilateral presentation, or progressive worsening of the curvature. When caused by
rickets, the most important thing is to treat the constitutional disease, at the same time instructing the mother never to place the child on its feet. In many cases this is quite sufficient in itself to effect a cure, but matters can be hastened somewhat by applying splints. When the deformity arises in older patients, either from trauma or occupation, the only treatment is surgery.
* [http://www.kneeguru.co.uk/KNEEnotes/node/1076 The KNEEguru - educational site packed with knee content with sections on genu varum]
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Look at other dictionaries:
Genu Varum — Radiographie d un enfant de 2 ans avec un genou varum … Wikipédia en Français
genu varum — anat. patol. Deformidad que afecta a las piernas que se caracteriza por una desviación de las rodillas hacia fuera y los pies hacia dentro (piernas en O). Medical Dictionary. 2011. genu … Diccionario médico
genu varum — ● genu varum nom masculin (latin genu, genou, et varum, tourné en dedans) Déviation de la jambe vers l intérieur de l axe du membre inférieur avec saillie du genou en dehors … Encyclopédie Universelle
Genu varum — Radiographie d un enfant de 2 ans avec un genou varum. Ostéotomie … Wikipédia en Français
Genu Varum — Abwinklung bezeichnet in der Medizin eine Abweichung einer Gliedmaße von der Normalstellung (Neutral 0 Stellung). Von Varus Stellung spricht man, wenn an Knochen bzw. Gelenken der zur Körpermitte gelegene (=mediale) Winkel kleiner als die Norm… … Deutsch Wikipedia
genu varum — genu va·rum vār əm n BOWLEG compare VARUS * * * abnormal outward curving of the legs at the knees, resulting in separation of the knees. See bow legs. * * * a deformity in which the knees are abnormally separated and the lower extremities are… … Medical dictionary
genu varum — (лат. genu колено, varus изогнутый внутрь, кривой) деформация коленного сустава с образованием угла между голенью и бедром, открытого кнутри … Большой медицинский словарь
genu varum — noun bowleg … Wiktionary
Genu varum — O Bein … Universal-Lexikon
genu varum — abnormal outward curving of the legs at the knees, resulting in separation of the knees. See: bow legs … The new mediacal dictionary