Genu Valgum is also known as Knock knees. In the Valgum deformity knees on the centre line of i.e. legs are inclined internally, curve so that the knees are below normal. It can produce results in arrested growth of the lateral condyle of femur injuries or septic destruction of the lateral half of the lower femoral Epiphyseal line. The continued growth of the medial condyle results in unilateral knock Knie.Das typical gait pattern is Circumduction that require, that each each leg outward swing in the go to a step without striking the planted extremity with the moving limb. Not only the mechanics of gangs are compromised, but also with significant angular deformity, anterior, and medial knee pain are common. These symptoms reflecting the pathological strain on the knee and his patellofemoral extensor mechanism.
Bilateral Valgum deformity can result in condition reduces the bone tissue. May it be due to RicketsOsteomalaciaRheumatoid ArthritisMuscular paralysis of the Semimembranosus or SemitendinosusFractureMay are secondary flat feet, arthrosis?
The degree of the Knock knees is the distance between the medial Malleoli at the ankle when the child with the knees touch each other is measured.
Diagnostic test
The Q angle which spine through the center of the kneecap and a line from the center of the kneecap in the middle of Tuberositas should tibial tubercle, a line of the ilium Anterosuperior as be measured next. The Q angle should less than 22 degrees in women with the knee in extension and less than 9 degrees with the knee in 90 degrees of flexion. In men, the Q angle should less than 18 degrees with the knee in extension and less than 8 degrees with the knee in 90 degrees of flexion.
Treatment of Genu Valgum
Degree of the deformity, muscle diagram and ROM are measured. In mild cases of Genu valgum in young children of boots wear “Customs and elongated forward heel (Robert Jones heels) corrected the deformity.” with the inside of the heel of raised 3 / 8
In more complicated cases, the child of a wedge osteotomy of Supracondyles requires closed.
Post operative physical therapy
Progressive knee mobilization is the most important part of the Behandlung.Einige heat modalities may be given to the alleviation of pain.Strengthening exercises leg extension, leg curl and gluteus muscles are given.If the patient able to go, it gets right, for, network load balancing, to transfer weight and walk.
