Advertisement

Pediatric Radiology

, Volume 26, Issue 5, pp 349–352 | Cite as

Physiological bowlegs or infantile Blount's disease. Some new aspects on an old problem

  • P. Eggert
  • M. Viemann
Article

Abstract

The differentiation between physiological bowlegs and infantile Blount's disease in patients aged 11–30 months is very difficult. Nevertheless, diagnosis is deemed important because treatment of infantile Blount's disease is recommended. Fourteen patients with severe bowing of the legs seen in our outpatient clinic were investigated retrospectively. We examined them and measured the tibiofemoral and metaphyseal/diaphyseal angles in radiographs taken at their first pre sentation. The finding that the tibiofemoral angle is not helpful in differential diagnosis could be confirmed but, contrary to reports by other authors, neither was the metaphyseal/diaphyseal angle. In view of the spontaneous recovery of all investigated patients, it must be doubted whether a diagnosis of infantile tibia vara can be made in early infancy, and whether infantile Blount's disease is a diagnosis in its own right.

Keywords

Public Health Differential Diagnosis Outpatient Clinic Spontaneous Recovery Early Infancy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Salenius P, Vankka E (1975) The development of the tibiofemoral angle in children. J Bone Joint Surg Am 57:259–261PubMedGoogle Scholar
  2. 2.
    Silverman FN (1993) Blount disease. In: Silverman FN, Kuhn JP (eds) Caffey's pediatric X-ray diagnosis, 9th edn. Mosby, St Louis, pp 1834–1839Google Scholar
  3. 3.
    Reed MH (1992) Blount disease. In: Reed MH (ed) Pediatric skeletal radiology. Williams and Wilkins, Baltimore, pp 387–388Google Scholar
  4. 4.
    Oestreich AE (1991) Blount disease. In: Kirks DR (ed) Practical pediatric imaging, 2nd edn. Little Brown, Boston, pp 380–381Google Scholar
  5. 5.
    Langenskiöld A (1989) Tibia vara. Clin Orthop 246: 195–207PubMedGoogle Scholar
  6. 6.
    Norman ME (1992) Angular deformities: bowlegs and knock-knees. In: Behrman RE (ed) Nelsons textbook of pediatrics, 14th edn. Saunders, Philadelphia, pp 1698–1700Google Scholar
  7. 7.
    Sponseller PD (1994) Tibiofemoral disorders. In: Oski FA (ed) Principles and practice of pediatrics, 2nd edn. Lippincott, Philadelphia, pp 1025–1026Google Scholar
  8. 8.
    Levine AM, Drennan JC (1982) Physiological bowing and tibia vara. J Bone Joint Surg Am 64: 1158–1163PubMedGoogle Scholar
  9. 9.
    Foreman KA, Robertson WW (1985) Radiographic measurement of infantile tibia vara. J Pediatr Orthop 5: 452–456PubMedGoogle Scholar
  10. 10.
    Blount WP (1937) Tibia vara. J Bone Surg 19: 1–29Google Scholar
  11. 11.
    Breck LW (1971) An atlas of osteochondroses. Charles Thomas, Springfield, pp 99–101Google Scholar
  12. 12.
    Blount WP (1966) Tibia vara, osteochondrosis deformans tibiae. Curr Pract Orthop Surg 3: 141–156PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • P. Eggert
    • 1
  • M. Viemann
    • 1
  1. 1.Universitäts-KinderklinikKielGermany

Personalised recommendations