Bow-Legs and Knock-Knees in Children - Self Resolving or Pathological Deformity
OBJECTIVE: To identify and differentiate the self-resolving Paediatric Orthopedic conditions namely bow-legs and knock-knees from pathological conditions like metabolic bone diseases - rickets and bone dysplasias. METHODOLOGY: This prospective descriptive, non-randomized, convenience sampling techn...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Liaquat University of Medical and Health Sciences
2019-09-01
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| Series: | JLUMHS |
| Subjects: | |
| Online Access: | https://www.lumhs.edu.pk/jlumhs/Vol18No03/pdfs/02.pdf |
| _version_ | 1827939430954958848 |
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| author | Shaikh Naeem-ul- Haq Syed Abdur Rub Abidi Abdul Rehman Khan Salman Adil Imran Samdani Syed Adnan Ahmed |
| author_facet | Shaikh Naeem-ul- Haq Syed Abdur Rub Abidi Abdul Rehman Khan Salman Adil Imran Samdani Syed Adnan Ahmed |
| author_sort | Shaikh Naeem-ul- Haq |
| collection | DOAJ |
| description | OBJECTIVE: To identify and differentiate the self-resolving Paediatric Orthopedic conditions namely bow-legs and knock-knees from pathological conditions like metabolic bone diseases - rickets and bone dysplasias.
METHODOLOGY: This prospective descriptive, non-randomized, convenience sampling technique study was conducted in the out patient department of the Orthopedic units of the Jinnah Medical College Hospital Karachi, Dow University Hospital Ojha Campus Karachi and Fatima Hospital Baqai University Karachi from February 2012 - January 2018.
Total three hundreds children between 1-8 years of age were included with deformities comprising mainly of bowlegs and knock-knees. We included the children having nutritional deficiencies alongside former deformities, and excluded children with neurological disturbances or other syndromes. A
detailed history of each patient was taken, emphasizing their perinatal history and developmental milestones.
RESULTS: Out of 300 patients 224 (74.67%) had improvement in deformity of legs without any active treatment. There were 64 (21.33%) children, who required treatment, were diagnosed as ricketic patients. There were another group of 12 (4%) children who didn’t show improvement without active intervention. They were categorized as suffering from epiphyseal dysplasias or post-traumatic epiphyseal injury.
CONCLUSION: The majority of deformities like bowlegs and knock-knees in children are self-resolving and are considered as physiological variant of musculoskeletal development.The knowledge of spontaneous resolution saves both the time and money spent unnecessarily on these normal variants. |
| first_indexed | 2024-03-13T08:53:25Z |
| format | Article |
| id | doaj.art-8dce4d860ee0420bbaf3fc7f343f619e |
| institution | Directory Open Access Journal |
| issn | 1729-0341 2309-8627 |
| language | English |
| last_indexed | 2024-03-13T08:53:25Z |
| publishDate | 2019-09-01 |
| publisher | Liaquat University of Medical and Health Sciences |
| record_format | Article |
| series | JLUMHS |
| spelling | doaj.art-8dce4d860ee0420bbaf3fc7f343f619e2023-05-29T07:29:29ZengLiaquat University of Medical and Health SciencesJLUMHS1729-03412309-86272019-09-011803197200doi:10.22442/jlumhs.191830627Bow-Legs and Knock-Knees in Children - Self Resolving or Pathological DeformityShaikh Naeem-ul- Haq0Syed Abdur Rub Abidi 1Abdul Rehman Khan2Salman Adil3Imran Samdani4Syed Adnan Ahmed5Dow international Medical College/ Dow University of Health Sciences Karachi, Sindh-Pakistan.Jinnah Medical & Dental College/JMCH Karachi, Sindh-Pakistan.Dow international Medical College/ Dow University of Health Sciences Karachi, Sindh-Pakistan.Baqai Medical University, Karachi, Sindh-PakistanAbbasi Shaheed Hospital Karachi, Sindh-Pakistan.TO Clinic Karachi, Sindh-Pakistan. OBJECTIVE: To identify and differentiate the self-resolving Paediatric Orthopedic conditions namely bow-legs and knock-knees from pathological conditions like metabolic bone diseases - rickets and bone dysplasias. METHODOLOGY: This prospective descriptive, non-randomized, convenience sampling technique study was conducted in the out patient department of the Orthopedic units of the Jinnah Medical College Hospital Karachi, Dow University Hospital Ojha Campus Karachi and Fatima Hospital Baqai University Karachi from February 2012 - January 2018. Total three hundreds children between 1-8 years of age were included with deformities comprising mainly of bowlegs and knock-knees. We included the children having nutritional deficiencies alongside former deformities, and excluded children with neurological disturbances or other syndromes. A detailed history of each patient was taken, emphasizing their perinatal history and developmental milestones. RESULTS: Out of 300 patients 224 (74.67%) had improvement in deformity of legs without any active treatment. There were 64 (21.33%) children, who required treatment, were diagnosed as ricketic patients. There were another group of 12 (4%) children who didn’t show improvement without active intervention. They were categorized as suffering from epiphyseal dysplasias or post-traumatic epiphyseal injury. CONCLUSION: The majority of deformities like bowlegs and knock-knees in children are self-resolving and are considered as physiological variant of musculoskeletal development.The knowledge of spontaneous resolution saves both the time and money spent unnecessarily on these normal variants.https://www.lumhs.edu.pk/jlumhs/Vol18No03/pdfs/02.pdfbow-legsknock-kneesself-resolving deformity. |
| spellingShingle | Shaikh Naeem-ul- Haq Syed Abdur Rub Abidi Abdul Rehman Khan Salman Adil Imran Samdani Syed Adnan Ahmed Bow-Legs and Knock-Knees in Children - Self Resolving or Pathological Deformity JLUMHS bow-legs knock-knees self-resolving deformity. |
| title | Bow-Legs and Knock-Knees in Children - Self Resolving or Pathological Deformity |
| title_full | Bow-Legs and Knock-Knees in Children - Self Resolving or Pathological Deformity |
| title_fullStr | Bow-Legs and Knock-Knees in Children - Self Resolving or Pathological Deformity |
| title_full_unstemmed | Bow-Legs and Knock-Knees in Children - Self Resolving or Pathological Deformity |
| title_short | Bow-Legs and Knock-Knees in Children - Self Resolving or Pathological Deformity |
| title_sort | bow legs and knock knees in children self resolving or pathological deformity |
| topic | bow-legs knock-knees self-resolving deformity. |
| url | https://www.lumhs.edu.pk/jlumhs/Vol18No03/pdfs/02.pdf |
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