Infantile Tibia Vara
aka Blount's Disease
medial portion of prox tibial physis
Causes:
Obesity
Hx
knee pain
Ex
Medial angulation and internal rotation of tibia (Bowing)
Gait abnormality
Ix
if bow legged at 2yo
Xray whole leg
Look for beaking medially, loss of medial epiphysis height
Rx
<4yo = brace while weight bearing
>4yo Surgery
Complications:
OA - long term Ortho follow-up
Fractures
Pain
medial portion of prox tibial physis
Causes:
Obesity
Hx
knee pain
Ex
Medial angulation and internal rotation of tibia (Bowing)
Gait abnormality
Ix
if bow legged at 2yo
Xray whole leg
Look for beaking medially, loss of medial epiphysis height
Rx
<4yo = brace while weight bearing
>4yo Surgery
Complications:
OA - long term Ortho follow-up
Fractures
Pain