Common Lower Limb Deformities in Children

Contents

Prof. Mamoun Kremli Dr. Tarif Alakhras

_page_0_Picture_8.jpeg

_page_0_Picture_9.jpeg


Objectives

  • Angular deformities of lower limbs
    • Bow legs
    • Knock knees
  • Rotational deformities of lower limbs
    • In-toeing
    • Ex-toeing
  • Feet problems

Summary

Angular Deformities

  • Common: Genu varus (bow legs), Genu valgus (knock knees)
  • Key: Differentiate between physiologic and pathologic deformities
  • Management: Most are physiologic and resolve with time

Rotational Deformities

  • Common: Part of normal development
  • Presentation: In-toeing vs Out-toeing
  • Etiology: Cause may be in femur, tibia, or foot
  • Prognosis: Most improve with time
  • Management: Conservative observation is usually appropriate

Key Takeaway: The vast majority of both angular and rotational deformities in children are physiologic and resolve spontaneously with growth.