RESUMEN
If idiopathic bowleg is common, rachitic bowleg must be recognized and cured with vitamin D therapy. Apart from these two conditions, there occurs very frequently another condition known as Blount's disease in the black population in the Caribbean. There is partial dystrophy of the medial part of the upper growth-plate of the tibia. Seventy-five cases were treated in 12 years and the different stages in the pathology of the condition are shown. Young children with this condition are treated with a small tibial osteotomy which prevents bowing of the legs (AU)
Asunto(s)
Niño , Perna/anomalías , Huesos de la Pierna/anomalías , Vitamina D/uso terapéutico , Indias OccidentalesRESUMEN
Severe bow legs and knock knees are very common in Jamaican children. These two deformities are closely related and are not due to any known pathological condition including rickets. In advanced cases the bow legs change to tibia vara and the knock knees to tibia valga, while changes appear in the tibial metaphysis which resemble osteochondritis radiologically. Three factors, racial, eccentric pressure on the knee and increased plasticity of bone, have been shown to play a part in the development of these deformities. In severe bow legs treatment appears to be indicated when the angle formed by the femur and tibia exceeds 25 deg. Spontaneous correction of lesser angulation can occur (Summary)