Case 22 Genu Valgum
Case 22
Genu
Valgum
Introduction
Exposure
Lower Extremity –
Gait
- Varus / Valgus thrust or walks
slowly on a plodding manner loading knees on lateral compartment
Squating – Symmtrical with both
the heels at the same level
Alignment
Pelvis Leveled
Both patella facing forward ,
Genu
Valgum deformity on Right side
Upper Extremity overlying Greater
Trochanter
No
flexion contracture at knee
Archs at feet normal
Posterior
( Measure Genu Valgum once you
see this and continue downward ..)
Attitude not any partcular on
lower extremities
Sitting again
Local Examination
Look Skin
/ With our any Swelling / Discharge all around thigh / knee and leg
Quadriceps
Wasting +
See
other stigmata – Rickets , CP , Dysplasia, Ligamentous Laxity
Feel Temperature
Tenderness-
not any over thigh / knee and leg
Movements Flexion
/ Extension
Crepitations
Measurent – Q angle
Intermalleolar
Distance
Leg
Length Discripancy
Any
Flexion Contracutre
Stability
Patellar
Aprehension / Clark’s test / Patellar Tilt and Glide / Ober’s test Varus / Valgus
Anterior
Drawer,Posterior Drawer,Lachman’s ,End points
Distal Circulation
Distal Sensation
Examination – Hip / Ankle / Foot
Neurology – Sensation / power / Tone / Reflexes
Discussion
Describe the deformity
Description – 15 years old boy with a 15 degrees
Genu Valgum Deformity Right Side with Intermalleolar distance of 12 CM with 15
degrees Q – angle with 2 cm quadriceps wasting without any Leg Length
Descripency.
How to investigate this ?
Orthoscanogram LE Right Side
Serum Calcium and Vit. D level
X-ray hand to assess bone age
Treatment
Medical treatment with Calcium Supplement
Use of Splints
Surgery
Based on Age
Physis
Open – Growth Modulation
Physis
Closed – Osteotomies at CORA
Comments
Post a Comment