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Case of the Week 547


What is the most likely diagnosis?

  • 4 year-old with bowlegs



Frontal and lateral views of both lower legs

  1. Rickets
  2. Fibrous Dysplasia
  3. Blount Disease
  4. Tuberculosis
  5. Syphilis

Additional Image-None

 

Additional Images

 


None


Answer:

 

3. Blount Disease

 

More (Click Discussion Tab)

 

 

Blount Disease

General Considerations

  • Growth disturbance in the proximal, medial, epiphyseal plate, epiphysis, and metaphysis of the tibia produces medial angulation (varus deformity) at the knee and internal rotation of the tibia
  • Pathogenesis is uncertain
  • The early onset or infantile type occurs in children under 3 years of age (more common)

MORE . . .

 


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is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.