GENU VALGUM

RAIHANA JANNATI

SUPERVISOR : Dr. dr. Adrian Khu, Sp.OT, FICS, AIFO-K

NORMAL KNEE JOINT ANATOMY
 Normal X-ray of Knee Joints

Child’s Knee Adult’s Knee

GENU VALGUM OR KNOCK KNEES
 DEFINITION

Genu Valgum (Knock-Knee) is a condition in which the knees are

deviated towards midline of the body and touch one another when
the legs are straightened. The term originates from the Latin genu
or “knee”, and valgus which means bent outwards, but in this case
it is used to describe the distal portion of the leg which bends
outwards and thus proximal portion of leg near knee seems to be
bent inwards.
 ETIOLOGY

Physiologic Genu Valgum

• Common physiologic process that peaks around the age of 3-4 years old
• Can occurs without family history of the same condition
• Usually bilateral

Pathological Genu Valgum

• Less common than the physiologic type
• May have family history of the same condition
• It can be unilateral
• Usually has underlying medical condition
 DIAGNOSIS

The degree of genu valgum can be estimated by the Q angle, which is the
angle formed by a line drawn from anterior superior iliac spine through the
centre of the patella and a line drawn from the centre of the patella to the
centre of the tibial tubercle.
 PHYSICAL EXAMINATION

• Pronounced asymmetry
• Short stature
• Intermalleolar separation greater
than 3,5 inches
• Other skeletal abnormalities
 TREATMENT

Non Operative :
• Corrective Braces
Operative :
• Hemiepiphysiodesis
• Osteotomy