GP-Update | Normal variants of lower limb conditions in children

21st July 2016 by NASGP

GP-Update | Normal variants of lower limb conditions in children

How often have you encountered an anxious parent with their child with bow legs or in-toeing and wondered ‘is this normal or not?’. If you don’t feel 100% confident in knowing which child needs simple reassurance and which needs referral, you’re not alone. 25-50% of all new paediatric orthopaedic outpatient referrals are due to normal variants in the growing child! To help us a recent BMJ review nicely summarises the normal variants as well as red flags that should prompt a referral (BMJ 2015;351:h3394).

Key points in assessment

  • Normal variants should be symmetrical and painless.
  • Normal variants tend to improve over time in a predictable age-related way whereas pathological conditions worsen.
  • Consider impact of obesity and possibility of vitamin D deficiency rickets.
  • Short stature (

The table below provides a summary of different lower limb conditions.

Join

Join to view the rest of this content, as well as access all the benefits of joining NASGP.

Join

Login

Already a member? Login to view this content.

Login

"I feel strongly that sessional GPs need an organisation solely focussed on representing their interests."

Dr Tim Cantor

See the full list of features within our NASGP membership plans

Membership