White GR, Mencio GA
Department of Orthopaedics and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tenn.
J Am Acad Orthop Surg. 1995 Oct;3(5):275-283. doi: 10.5435/00124635-199509000-00003.
Genu valgum is a common orthopaedic problem in children. The vast majority of cases are physiologic variants, which resolve normally. However, there are pathologic entities due to both focal and systemic processes in which the deformity often progresses and usually requires treatment. Differentiating between the two forms is facilitated by a thorough understanding of the natural history of the development of the tibiofemoral angle in children. In this review, an approach to the evaluation and diagnosis of genu valgum is presented, and therapeutic alternatives are discussed.
膝外翻是儿童常见的骨科问题。绝大多数病例是生理性变异,通常会自行缓解。然而,也有因局部和全身性病变导致的病理性情况,其中畸形往往会进展,通常需要治疗。通过全面了解儿童胫股角发育的自然史,有助于区分这两种类型。本文综述了膝外翻的评估和诊断方法,并讨论了治疗选择。