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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.
Shaikh Naeem-ul- Haq, Syed Abdur Rub Abidi, Abdul Rehman Khan, Salman Adil, Imran Samdani, Syed Adnan Ahmed. (2019) Bow-Legs and Knock-Knees in Children - Self Resolving or Pathological Deformity, Journal of Liaquat University of Medical and Health Sciences, Volume-18, Issue-3.
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