Blount’s disease: A case report
Journal Title: Journal of Medical and Scientific Research - Year 2016, Vol 4, Issue 1
Abstract
Introduction: Blount’s disease is defined as a growth disorder of medial aspect of proximal tibia physis with abrupt medial angulation of proximal tibia distal to epiphysis, leading to varus angulation of proximal tibia and medial rotation of tibia. Epidemiology is not well established and very rarely cases have been reported from Indian subcontinent. Presentation of case: A 3-years-old female child presented with deformity in both the legs and altered walking pattern for the past one year. On examination there was 15 degrees of varus deformity in both the knees. There was 25 degrees of internal tibial torsion bilaterally. The child was managed by surgical intervention. Oblique proximal tibial osteotomy was done. Fixation was done with a single cancellous screw on both sides and immobilisation was done in above knee plaster cast. Child recovered well with correction of deformity and could walk with normal gait pattern. Discussion: The cause of Blount’s disease is still not well established. Treatment depends upon age at presentation, severity of varus deformity as determined by Langenskiold staging, and progression of the disease. Early intervention is required to avoid progression of the disease and permanent deformity. Conclusion: Blount’s disease is a very rarely encountered condition in Indian subcontinent but has a characteristic presentation. It should be included in differential diagnosis in cases presenting with pathological bowing of legs. Radiological findings and normal blood biochemistry can guide us towards the diagnosis of Blount’s disease.
Authors and Affiliations
Krishnaiah K, Rathore S, Quadri V
Keywords
Related Articles
- EP ID EP600206
- DOI 10.17727/JMSR.2016/4-005
- Views 79
- Downloads 0
Quality assurance of modern image guided 3D-conformal radiotherapy treatments
Purpose: To describe the Quality Assurance (QA) methods of modern Three-dimensional conformal radiotherapy (3DCRT) treatments such as image guided Intensity-modulated radiation therapy (IMRT), RapidArc, Stereotactic radi...
A rare case of urosepsis in pregnancy
Urinary infections are common during pregnancy, affecting 10-15% of women and the infection is recurrent in up to 10% of women. The development of a renal abscess secondary to acute pyelonephritis is uncommon during preg...
Cardiac biomarker detection based on nanostructured biosensors
Early and accurate detection of plasma borne cardiac biomarkers is essential for prevention of life threatening acute myocardial infarctions. Development of low cost and point of care platforms that can ensure ultrasensi...
Acute small bowel obstruction due to Meckel's diverticulum: An unusual presentation
Majority of the persons with Meckel’s diverticulum are asymptomatic throughout life. In the symptomatic adults, small bowel obstruction is the most common presentation. The common mechanisms of small bowel obstruction in...
A study of Acinetobacter from various clinical specimens & its antibiotic sensitivity pattern in a tertiary care hospital
Background: Acinetobacter baumannii has emerged as a significant hospital pathogen, quickly becoming resistant to commonly prescribed antimicrobials. Objectives: To isolate various species of Acinetobacter, to compare i...