Infantile Blount's Disease Case Study

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Children in the infantile stage of Blount’s disease normally do not feel any symptoms from it. Those who are in the adolescent stage may complain of pain on the medial side of the knee. This is because of the “breaking away” of the metaphysis, causing the medial condyle of the tibia to breakdown which would result in it having a sloping varus angle. Overall, the most prominent symptom of Blount’s disease, also the most visual, is the outward projection of the leg at the knee. Although the definite cause of tibia vara is unknown, doctors around the world have zeroed in on a few factors that could lead to the bowing effect in the legs that this disease creates.

Early walking is one of the causes of Infantile Blount’s disease. The ideal time
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If the knees are more than 5 centimeters apart it is a probable sign of the disease and could require more testing. The doctor could also have the child walk around to check for a slight limp. Unilateral tibia vara often causes one leg to become shorter, causing an uneven gait. The unilateral shortening could also cause the child to trip over their own feet more often. This creates a symptom that is hardly noticeable, therefore, the child could easily be written off as just “clumsy”. To further the examination, the physician can order for the child to take a radiographic exam. After the x-rays are produced they are used to prove or disprove whether the person has Blount’s. The doctor then uses the Langenskiold scale (created by Dr. Elizabeth Langenskiold in 1952 who was the first to describe the different stages of Blount’s) to diagnose the severity, giving the patient a stage I to VI rating - VI being the most severe form. When the asperity is is determined, the patient could then be sent to an orthopedic specialist to determine the course of treatment for the

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