This website used cookies to give you the best experience. By continuing to use this website you are consenting to cookies being used. You can delete and block cookies from within your browsers settings. For more information please refer to our privacy and cookie policy page.

Continue

Genu Varum (Bow Legs)

Bow legs (Genu Varum) are common and is considered normal until 2 years of age.



Referral is necessary if: 



  • There are signs of asymmetry
.
  • Changes are associated with pain or functional impairment (e.g. prone to falling). 
  • Changes are extreme (the femoral intercondylar distance is >6 cm
).
  • Changes worsen or persist beyond age 4 years.

Conditions to consider include:

Rickets -  look for other clinical signs and if relevant, check bone chemistry (calcium, phosphorus and alkaline phosphatase) and vitamin D; especially if the child is failing to thrive, has generalised aches and pains, or has other risk factors such as a vegan diet, malabsorption syndromes or an ‘at risk’ ethnicity.

Skeletal Dysplasias and dwarfism syndromes such as Achondroplasia - Consider growth and limb proportions (short limbs compared to trunk).

 varus in rckets

Photo: Severe Varus in Achondroplasia

Diagram below - short limbs compared to trunk in Achondroplasia

 

Why register?

Some parts of pmm India which involve pictures or videos of children, can only be viewed by registered users. Registering also allows you to bookmark favourite pages and track your viewing.

find out more

pmm for you

Please help us ensure pmm is as useful to you as possible by completing this short survey

complete survey