Pediatric Radiology

, Volume 25, Issue 1, pp 12–14 | Cite as

Blount's disease: Magnetic resonance imaging

  • H. Ducou le Pointe
  • H. Mousselard
  • A. Rudelli
  • J. -P. Montagne
  • G. Filipe


To evaluate the information obtained by magnetic resonance (MR) imaging, the radiographic and MR investigations of nine patients treated for idiopathic tibia vara were reviewed in retrospect. There were six unilateral and three bilateral cases (12 tibiae). Initial radiographs of each patient were assigned a stage according to Catonné's classification. MR imaging was performed with a 0.5- or 1.5-T apparatus. Bony epiphyses were poorly developed in all cases. The cartilaginous component of the epiphyses compensated partially (6/12 cases) or completely (6/12 cases) for the collapse of the physes. In two cases an abnormal area was found between the medial meniscus and the cartilaginous portion of the epiphysis. An abnormally large medial meniscus was noted in four cases; an abnormal signal in the medial meniscus was seen in two cases. MR imaging has several advantages over plain film: it uses no ionizing radiation, it shows the shape of the ossified and cartilaginous epiphysis, and it demonstrates meniscal and physeal abnormalities. MR imaging may influence the choice of treatment.


Public Health Radiation Magnetic Resonance Imaging Abnormal Signal Plain Film 
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.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Erlacher P (1922) Deformierende Prozesse der Epiphysengegend bei Kindern. Arch Orthop Unfallchir 20:81–96Google Scholar
  2. 2.
    Blount WP (1937) Tibia vara: osteochondrosis deformans tibiae. J Bone Joint Surg 19:1–29Google Scholar
  3. 3.
    Loder RT, Johnson CE (1987) Infantile tibia vara. J Pediatr Orthop 7:639–646PubMedGoogle Scholar
  4. 4.
    Wenger DR, Mickelson M, Maynard JA (1984) The evolution and histopathology of adolescent tibia vara. J Pediatr Orthop 4:78–88PubMedGoogle Scholar
  5. 5.
    Langerskiöld A (1981) Tibia vara: osteochondrosis deformans tibiae. Blount's disease. Clin Orthop 158:77–82PubMedGoogle Scholar
  6. 6.
    Ikegawa S, Nakamura K, Kaway S, Nishino J (1990) Blount's disease in a pair of identical twins. Acta Orthop Scand 61:582PubMedGoogle Scholar
  7. 7.
    Langerskiöld A (1952) Tibia vara. Osteochondrosis deformans tibiae; a surgery of 23 cases. Acta Chir Scand 103: 1–22PubMedGoogle Scholar
  8. 8.
    Langerskiöld A, Riska EB (1964) Tibia vara (osteochondrosis deformans tibiae). A survey of seventy-one cases. J Bone Jouint Surg [Am] 46:1405–1420Google Scholar
  9. 9.
    Catonné Y, Pacault C, Azaloux H, Tire J, Ridarch A, Blanchard P (1980) Aspects radiologiques de la maladie de Blount. J Radiol 61:171–176PubMedGoogle Scholar
  10. 10.
    Jaramillo D, Hoffer FA (1992) Cartilaginous epiphysis and growth plate: normal and abnormal MR imaging findings. AJR 158:1105–1110PubMedGoogle Scholar
  11. 11.
    Catonné Y, Dintimille H, Arfi S, Mouchet A (1983) La maladie de Blount aux Antilles. A propos de 26 observations. Rev Chir Orthop 69:131–140PubMedGoogle Scholar
  12. 12.
    Siffert RS, Katz JF (1970) The intra-articular deformity in osteochondrosis deformans tibiae. J Bone Joint Surg [Am] 52: 800–804Google Scholar
  13. 13.
    Beltran J, Noto AM, Mosure JC, Weiss KL, Zuelser W, Christoforidis AJ (1986) The knee: surface-coil MR imaging at 1.5 T. Radiology 159:747–751PubMedGoogle Scholar
  14. 14.
    Johnston CE II (1990) Infantile tibia vara. Clin Orthop 255:13–23PubMedGoogle Scholar
  15. 15.
    Schoenecker PL, Johnston R, Rich MM, Capelli AM (1992) Elevation of the medial plateau of the tibia in the treatment of Blount disease. J Bone Joint Surg [Am] 74: 351–358Google Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • H. Ducou le Pointe
    • 1
  • H. Mousselard
    • 2
  • A. Rudelli
    • 1
  • J. -P. Montagne
    • 1
  • G. Filipe
    • 2
  1. 1.Department of Pediatric RadiologyHôpital d'Enfants Armand-TrousseauParis Cédex 12France
  2. 2.Department of Orthopedic SurgeryHôpital d'Enfants Armand-TrousseauParis Cedex 12France

Personalised recommendations