Crooked legs are very common in babies. When a child with bow legs stands, there is a significant increase in distance between their legs or knees. This condition occurs as a result of the leg or legs leaning outward. There is a springy appearance when walking.
In most of these cases, children are significantly overweight.
Causes
Physiological Genu Varum
Most children under the age of 2 have a physiological bowed leg appearance. Doctors call this physiological genu varum.
In children with physiological genu varum, crooked legs improve with age and they usually have a normal appearance by the age of 3-4.
Blount's Disease
Blount disease is a disease that can be seen in children as well as adolescents. This condition is caused by an abnormality in the growth plate in the upper part of the shin bone. Growth plates are located at the ends of a child's long bones and allow the bones to grow longitudinally and take the shape of adult bones. It may be difficult to distinguish between physiological genu varum under the age of 2 and infantile Blount disease. With the age of 3, the curvature of the legs increases and becomes serious, and the diagnosis is made by x-ray.
Curved legs are very common in babies. When a child with bow legs stands, there is a significant increase in distance between their legs or knees. This condition occurs as a result of the leg or legs leaning outwards. There is a springy appearance when walking.
In most of these cases, children are significantly overweight.
Causes
Physiological Genu Varum
Most children under the age of 2 have a physiological bowed leg appearance. Doctors call this physiological genu varum.
In children with physiological genu varum, crooked legs improve with age and they usually have a normal appearance by the age of 3-4.
Blount's Disease
Blount disease is a disease that can be seen in children as well as adolescents. This condition is caused by an abnormality in the growth plate in the upper part of the shin bone. Growth plates are located at the ends of a child's long bones and allow the bones to grow longitudinally and take the shape of adult bones.
Physiology under 2 years of age It may be difficult to distinguish between genu varum and infantile Blount disease. With the age of 3, the curvature of the legs increases and becomes serious, and it is diagnosed with x-ray.
Rachitism
It is a bone disease that causes bowed legs and other bone deformities in children. This disease is caused by children not getting enough calcium, phosphorus and vitamin D. This disease is rare in developed countries.
Clinical Findings
These children have a bowed leg appearance when standing. The most common symptom is an odd walking pattern.
The Crooked Leg may be unilateral or bilateral
Children have normal walking coordination and there is no delay in learning to walk. Parents should be careful about the amount of bending. Bowed legs usually do not cause pain. However, in those who remain untreated, discomfort may occur due to abnormal stress on the knee, hip and ankle during adolescence.
Test and Examination
The physician evaluates the child with a complete physical examination. .
If your child is under 2 years old and has a healthy and symmetrical crooked leg, your doctor will say that there is no need for other tests and that it is physiological and will recommend follow-up.
However, if the curvature is unilateral or severe, he may want to take an x-ray to check for Blount or Rickets disease. .
If your child is over 2 or 2.5 years old, he or she may likely require an x-ray. Children are more likely to have infantile Blount disease and Rickets at these ages. Your doctor may request blood tests and x-rays to investigate the presence of this disease.
Treatment
Natural Course of the Disease
Physiological genu varum usually resolves spontaneously as the child grows. It usually normalizes when the child reaches the age of 3-4. In untreated infantile blount disease and rickets, progressive curvature develops in the child. Pain may occur in later ages due to abnormal stress on the joints.
Non-Surgical Treatment
Although physiological genu varum does not require active treatment, your doctor will want to follow you up every 6 months. .
In Blount disease, treatment is essential and if caught early, orthosis treatment is applied. If orthosis treatment is not effective, surgery can be planned.
Rashi In case of autism, the child is referred to a metabolic specialist for regular follow-up and metabolic treatment and usually responds to drug treatment.
Surgical Treatment
Physiological genu Rarely, in some children, the curvature may be permanent or become severe. In this case, surgery can be planned during adolescence.
If orthosis treatment cannot be taken in Blount disease and the curvature progresses, surgical treatment can be planned after the age of 4. With surgery, curvature progression can be prevented and damage to the tibia growth plate can be prevented.
Surgery is planned for children with Blount's disease who present in the adolescent and late stages.
If rickets is severe and does not improve with medication and follow-up, it can be corrected surgically.
px; margin-right:0px">Rachitism
It is a bone disease that causes bowed legs and other bone deformities in children. This disease is caused by children not getting enough calcium, phosphorus and vitamin D. This disease is rare in developed countries.
Clinical Findings
These children have a crooked leg appearance when standing. The most common symptom is a strange gait pattern.
Curved. The leg may be unilateral or bilateral
Children have normal walking coordination and there is no delay in learning to walk. Parents should be careful about the amount of bending.
Crooked legs usually do not cause pain. However, in those who remain untreated, knee and hip problems occur during adolescence. and discomfort may occur due to abnormal stress on the ankle.
Test and Examination
The physician evaluates the child with a complete physical examination.
Your child is 2 years old. If there is a six, healthy and symmetrical crooked leg, your doctor will say that there is no need for other tests and that it is physiological and will recommend follow-up.
However, if the curvature is unilateral or severe, he may want to have an x-ray taken to check for Blount or Rickets disease.
Your child is 2 or more years old. If the child is over 2.5 years old, he/she may probably require an x-ray. Children are more likely to have infantile Blount disease and Rickets at these ages. Your doctor may request blood tests and x-rays to investigate the presence of this disease.
Treatment
Natural Course of the Disease
Physio Logical genu varum usually resolves spontaneously as the child grows. It usually normalizes when the child reaches the age of 3-4. In untreated infantile blount disease and rickets, progressive curvature develops in the child. Pain may occur in later ages due to abnormal stress on the joints.
Non-Surgical Treatment
Although physiological genu varum does not require active treatment, your doctor will want to follow you up every 6 months. .
In Blount disease, treatment is essential and if caught early, orthosis treatment is applied. If orthosis treatment is not effective, surgery can be planned.
In case of rickets, the child is referred to a metabolic specialist for regular follow-up and metabolic treatment and usually responds to drug treatment.
Surgical Treatment
Rarely in physiological genu varum, the curvature may be permanent or become serious in some children. In this case, surgery can be planned during adolescence.
If orthosis treatment cannot be taken in Blount disease and the curvature progresses, surgical treatment can be planned after the age of 4. With surgery, curvature progression can be prevented and damage to the tibia growth plate can be prevented.
Surgery is planned for children with Blount's disease who present in the adolescent and late stages.
If rickets is severe and does not improve with medication and follow-up, it can be corrected surgically.
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