Blount disease: an update.

Abstract

Blount disease is a developmental disorder associated with childhood obesity. Based on whether the deformity is first noted before or after 4 years of age, early-onset and late-onset forms of Blount disease have been described. Besides physeal abnormalities of the proximal tibia, compensatory changes in the intra-articular morphology of the medial compartment of the affected knee are often noted on MRI scan. Both guided growth and acute and gradual correction via a proximal tibial osteotomy have roles in the surgical management of these patients. In order to optimize clinical outcome, frequent follow-up until skeletal maturity is recommended.

• Authors: Sanjeev Sabharwal
• Journal: The Orthopedic clinics of North America (Orthop Clin North Am) Vol. 46 Issue 1 Pg. 37-47 (Jan 2015) ISSN: 1558-1373 [Electronic] United States
• PMID: 25435033 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2015 Elsevier Inc. All rights reserved.

Topics

• Adolescent
• Bone Diseases, Developmental (diagnosis, etiology, surgery)
• Child
• Child, Preschool
• Humans
• Obesity (complications, pathology)
• Osteochondrosis (congenital, diagnosis, etiology, surgery)