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The Journal of Bone and Joint Surgery 80:424-7 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Case Report

Progressive Genu Valgum Secondary to a Fibrous Tether at the Distal Aspect of the Femur. A Case Report*

SANTIAGO AMILLO, M.D.{dagger}, GONZALO MORA, M.D.{dagger} and PATRICIO LÉNIZ, M.D.{dagger}, PAMPLONA, SPAIN

Investigation performed at the Department of Orthopaedic Surgery and Traumatology, University Clinic of Navarra, Pamplona


   Introduction
 
Bilateral angular deformity of the lower extremity in children is common, and it is often due to benign physiological conditions in which the deformity corrects with growth1,2. However, unilateral angular deformity is rare and usually involves an abnormal condition such as Blount disease, fibrous dysplasia, Ollier disease, dyschondrosteosis, neurofibromatosis, a growth disturbance resulting from a physeal injury or infection, or even a rare condition described as tibia vara caused by focal fibrocartilaginous dysplasia2. To our knowledge, only five children with unilateral angular deformity of the distal end of the femur secondary to a focal fibrous tether have been described in the literature, and only two of them had a valgus deformity1,3.

We describe a boy who had a progressive genu valgum secondary to a tether of fibrous tissue, confirmed by histological examination, at the distal end of the femur.


   Case Report
 
A twenty-seven-month-old boy was referred to us for . . . [Full Text of this Article]


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