ABSTRACT
Appearance This often represents the main reason for consultation. Reassurance and an offer to follow up the child is all that is necessary if the deformity is bilateral, not severe (an intermalleolar distance of less than 15 cm) and present under the age of six years. The surgeon needs to be aware of hyperextension at the knee (or a proximal tibial recurvatum deformity) mimicking a genu valgum. If the deformity is severe, unilateral or present in older children, a detailed past and family history, serum biochemical profile of bone metabolism and radiographs may reveal the cause.
