To identify Self Resolving Orthopaedic conditions like Bow legs, Knock knees and Intoe gait in children, and differentiate them from serious pathological disorders like Rickets and Dysplasia.
Prospective, descriptive study carried out from 1993 to 2004. Patients were seen, diagnosed and followed-up in the Out-patient Clinic of the Orthopaedic Departments of SESSI Hospital, Landhi [1993-1994] and Hamdard University Hospital [1994-2004]. All children who presented with the above mentioned Self Resolving Conditions. The data of all the patients with self resolving deformities of the legs i. e. bow legs, knock knees and intoe gait was collected and analyzed, to evaluate their frequency and compared with pathological conditions like rickets and epiphyseal dysplasia. The patients were followed-up till 2004. Out of the 400 children seen during the study period, 62% showed improvement in the rotational deformities of the legs without any active treatment; 33% deformities were due to rickets, while 5% patients had either epiphyseal dysplasia or epiphyseal injury. It is beneficial to know the natural history of the self resolving conditions like bow legs, knock knees, etc. to avoid unnecessary, expensive and prolonged treatment for them. The physicians should have a high index of suspicion, to differentiate them from pathological conditions like rickets which produces similar deformities and epiphyseal injuries or dysplasia which requires good clinical evaluation and need surgical intervention
Ali Ahmed ,Ahmed Siddiqui ,Arshad Khan ,Younus Khan ,
Self resolving abnormalities of the lower limbs in children,
Pak. J. Surg. 2006;
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