The syndrome of genu varum in children

　　The syndrome of genu varum in children belongs to osteochondritis or epiphysitis, the etiology is unknown, and may be related to trauma or allergy. It includes those caused by tuberculosis and syphilis, where patients have growth defects in the epiphyseal cartilage, and there is delayed ossification in the medial or lateral parts of the proximal tibia epiphysis.

　　The syndrome of genu varum in children, in addition to its clinical manifestations, can also cause other diseases. Due to the deformation of the lower limbs, it can lead to motor dysfunction of the lower limbs and short stature, so it should be highly emphasized by clinical doctors and parents.

　　Clinically, bowleg syndrome in children can be divided into infantile type and adolescent type, with specific clinical manifestations as follows:

　　1. Infantile type

　　Symptoms appear between 1 and 2 years old, often in overweight children. The legs gradually bend without cause, often bilateral, occasionally unilateral. Unilateral cases present with limping, and bilateral cases present with waddling. Sometimes there may be foot and knee pain due to fatigue.

　　2. Adolescent type

　　The symptoms of the adolescent type appear between 6 and 12 years old, often unilateral. Physical examination shows that the affected limb is shorter by 1-2 cm, with a sharp angular protuberance on the lower side of the knee joint, a globular swelling of the medial malleolus, and internal rotation of the tibia. Other general examinations are normal.

　　Bowleg syndrome is a congenital disease with no effective preventive measures. Early diagnosis and treatment are the key to the prevention and treatment of the disease. At the same time, attention should be paid to functional exercise for children with the disease. Assisted with necessary passive exercises, postoperative complications can be effectively reduced.

　　Patients with bowleg syndrome should undergo X-ray examination. In the infantile type, the proximal end of the tibia is seen to be in a varus deformity, and the distal end of the femur also shows a varus deformity. In the adolescent type, X-ray shows that the middle 1/2 of the medial side of the epiphysis is narrowed, and the bone density on the opposite side increases. The shape of the epiphysis is normal, and the epiphysis does not show a step-like appearance.

　　Infants with bowleg syndrome should eat more foods rich in calcium, such as fish, shrimp shells, shrimp, kelp, milk, beans, etc. The diet should be light and nutritious, with more vegetables and fruits, such as bananas, strawberries, apples, etc., and more foods that enhance immunity. This can enhance the body's resistance to diseases.

　　The infantile bowleg syndrome can be divided into infantile type and adolescent type. The infantile type can be gradually corrected with conservative therapy. If severe deformity occurs, orthopedic surgery is required to correct it. The adolescent type often requires orthopedic surgery for correction.