Genu varum
| Genu varum | |
|---|---|
| Specialty | Medical genetics  |
Genu varum or genu varus (Blount's Disease), commonly referred to as bow-leggedness, is a deformity marked by medial angulation of the leg in relation to the thigh, an outward bowing of the legs, giving the appearance of a bow. It is also known as bandy-leg, bowleg, bow-leg, and tibia vara. Usually there is an outward curvature of both femur and tibia, with at times an interior bend of the latter bone.
Childhood
At birth all children are more or less bow-legged. The child lies on its nurse's knee with the soles of the feet facing one another; the tibia and femur are curved outwards; and, if the limbs are extended, although the ankles are in contact, there is a distinct space between the knee-joints. During the first year of life a gradual change takes place. The knee-joints approach one another; the femur slopes downward and inward towards the knee joints; the tibia become straight; and the sole of the foot faces almost directly downwards.
While these changes are occurring, the bones, which at first consist principally of cartilage, are gradually becoming ossified. By the time a normal child begins to walk the lower limbs are prepared, both by their general direction and by the rigidity of the bones which form them, to support the weight of the body.
Causes
Some cases can be caused by medical problems, and this often gives rise to a one-sided bow-leggedness. Skeletal problems, infection, tumors and rickets can affect the growth of the leg, resulting in genu vara.
If the child is sickly, either with rickets or suffering from any ailment that prevents the due ossification of the bones, or is improperly fed, the bowed condition may remain persistent. Thus the chief cause of this deformity is rickets. Skeletal problems, infection, and tumors can affect the growth of the leg, sometimes giving rise to a one-sided bow-leggedness. The remaining causes are occupational, especially among jockeys, and from physical trauma, the condition being very likely to supervene after accidents involving the condyles of the femur.
Expectations
In most cases persisting after childhood, there is little or no effect on the ability to walk. Due to uneven stress and wear on the knees, however, even milder manifestations can see an accelerated onset of arthritis. Those with bowlegs and a genetic predisposition for developing arthritis will likely start having arthritic symptoms around age 30.
Treatment
When caused by rickets, the most important thing is to treat the constitutional disease, at the same time instructing the mother never to place the child on its feet. In many cases this is quite sufficient in itself to effect a cure, but matters can be hastened somewhat by applying splints. When the deformity arises in older patients, either from trauma or occupation, the only treatment is surgery.
Famous Sufferers
- Kate Moss - Supermodel
- Rivaldo - Footballer
- Josh Howard - Basketball player
- William Petersen - American actor
- Charles Starkweather - Serial murderer
- Bobby Orr - Hockey player
- Pavel Datsyuk - Hockey player
- Daisuke Asakura - Producer and Composer
- Honus Wagner - Shortstop, one of first five men elected to the Baseball Hall of Fame
- Matt Hardy - Professional wrestler
- Jeff Foxworthy - American Comedian
- Jensen Ackles - American actor
- Mack Brown - Head Football Coach at The University of Texas
- Robert Bruce - Christchurch Drag Queen
- George Harrison - Singer, Songwriter, Musician, one of the Beatles
See also
References
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- This article incorporates text from a publication now in the public domain: Chisholm, Hugh, ed. (1911). Encyclopædia Britannica (11th ed.). Cambridge University Press.
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