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You can see this more easily if your child stands on their tip toes. Most ‘normal’ feet have an arch along the inside of the foot. I’ll explain over the next few newsletters a little more about what to expect, what is normal and when to be more concerned and get limbs and feet checked out…įlat Feet (known as Pes Planus, Over Pronation, Pes Valgus, Fallen Arches) Most of the time these are not issues at all but a normal part of development. Parents have anxiety over knock knees, bow legs, flat feet, and toes turning in during walking. I am regularly asked by parents, be it in clinic or the school run to check their child’s feet or legs, worrying whether their limb position is ‘normal’. If the separation between the ankles is severe, surgery may be an option.Flat Feet, Knock Knees and other Anomalies – what is ‘Normal’? Most children with knock knees do not require any treatment, but if the condition persists after age 7, then a night brace attached to an orthopaedic shoe may be recommended. If non-surgical treatment options do not correct your child’s bow legs, then surgery is considered. For children with severe, unresolved bow legs, doctors may recommend non-surgical treatment options such as bracing, physical therapy, and medications.
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Treatment for Bow legsĪs the child grows the condition usually corrects itself. In addition, X-rays may be taken if a child is older than 2 ½ years and has symmetrical legs. The diagnosis of bow legs or knock knees is made through a physical examination. In some cases, especially if the child is 6 years of age or older, knock-knees may occur because of other medical problems such as injury of the shin bone, osteomyelitis (bone infection), overweight, and rickets. Knock knees most often develop as a part of normal growth. When a child stands, the knees appear to bend toward each other and the ankles are spread apart. Knock knees is a condition in which the legs curve inward at the knees. Bowed legs usually does not cause any pain, however discomfort in the hips, knees, and/ or ankles may occur during adolescence. Other common symptoms are awkward walking pattern and turning in of the feet (intoeing). The most obvious symptom is bowing of the legs that appear when a child stands and walks.
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Bowed legs are rarely seen in adolescents. When your child stands, there is a distinct space between the lower legs and knees. If a child has bowlegs, one or both legs curve outwards. Genu Varum (bowed legs): Bowed legs are very common in toddlers. Genu varum (bow-legged): Head of tibia/ fibula is inclined toward the midline of the body.Genu valgum (knock-kneed): Head of tibia/fibula (not the joint itself), is inclined away from the midline of the body.Based on the inward/ outward inclination of the head of tibia/fibula knee angular deformities are classified as: However, if the condition is not corrected it could be a sign of an underlying disease that requires treatment.Ī perfectly aligned knee has its load-bearing axis on a line that runs through the hip, knee and ankle. The condition usually becomes more evident when the child is 2 to 3 years old and normally corrects itself by the time a child is 7 or 8 years old. During second year: Bow legs (knees and tibia).During first year: Lateral bowing of tibia.Physiologic angular deformities vary with age as: Angular deformity of the knee is a part of normal growth and development during early childhood. Home / Patient Info / Knee / Knee Angular Deformities Knee Angular DeformitiesĪngular deformities of the knee are common during childhood and usually are variations in the normal growth pattern.