Skip to main content

Genu Valgum

Ebony B. Whisenant, MD and Suzanne Minor, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Angling of the knee(s) toward the midline, giving the appearance of the knees touching while the ankles are apart

  • Classified as physiologic and/or pathologic

  • Physiologic genu valgum is...

DIAGNOSIS

HISTORY

  • Parental concern about the appearance of a child's legs often brings the condition to clinical attention. Other presentations include concerns about gait, falls, and lower extremity p...

TREATMENT

GENERAL MEASURES

  • No treatment is indicated for children <7 years of age with physiologic valgus. Clinical observation with appropriate parental education and reassurance are sufficient (2)...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Children with physiologic genu valgum can be followed every 6 to 12 months with serial intermalleolar distances.

  • Patients with pathologic genu valgum should be man...

REFERENCES

1
Scherl SA. Common lower extremity problems in children. Pediatr Rev.  2004;25(2):52–62. {L-End} [View Abstract on OvidMedline]
2
Sass P, Hassan G. Lower extremity abnormalities in chil...

CODES

ICD10

  • M21.069 Valgus deformity, not elsewhere classified, unspecified knee

  • Q74.1 Congenital malformation of knee

  • E64.3 Sequelae of rickets

  • M21.061 Valgus deformity, not elsewhere classified, right k...

CLINICAL PEARLS

  • Genu valgum is a normal physiologic process in children.

  • Characteristics of physiologic genu valgum include:

    • Occurs between 2 and 7 years of age

    • Valgus is symmetric.

    • There are no associate...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×