Hägglund G, Ingvarsson T, Ramgren B, Zayer M
Department of Orthopedics, Lund University Hospital, Sweden.
Acta Orthop Scand. 1997 Apr;68(2):167-9. doi: 10.3109/17453679709004001.
We analyzed the metaphyseal-diaphyseal angle in 13 patients with infantile Blount's disease, who had been followed without treatment during the entire growth period and without any form of realignment procedure in adulthood. On diagnosis at 23 (17-35) months of age, the metaphyseal-diaphyseal angle varied between 7 degrees and 25 degrees. At follow-up, most of the legs were almost straight. We found that the diagnosis of Blount's disease cannot be based solely on the metaphyseal-diaphyseal angle and that a bowed knee must be followed with repeated examinations before it can be decided whether treatment is needed.
我们分析了13例婴儿型布朗特病患者的干骺端-骨干角，这些患者在整个生长期间未接受治疗，成年后也未进行任何形式的矫正手术。在23（17 - 35）个月龄诊断时，干骺端-骨干角在7度至25度之间变化。随访时，大多数腿几乎伸直。我们发现，布朗特病的诊断不能仅基于干骺端-骨干角，并且对于膝内翻必须进行反复检查，才能决定是否需要治疗。
