Clinical picture
At birth
- short tibia
- calcaneovalgus foot
- foot often lies with dorsum against anterior leg
- most bow in distal 1/2
Aetiology
Probably caused by intrauterine fracture or malposition
Associations
Calcaneus foot
- triceps surae weakness
- extension contracture of ankle
- anisomelia
Long term
1. LLD may persist
- remains proportional
- tend to have static LLD 2cm
Treatment
- epiphysiodesis other side
2. Bowing
- usually completely resolves
- varus 6° may persist
- resolution starts at 1 year
Treatment
- consider osteotomy if at 3 years if progressive or severe deformity / bow not corrected