xray image show knee joint says toddler presented with bowing of legs:
A- leukemia
b- syphilis
c- rickets***
d- blount disease
N.B → Bowing of legs in toddler, commonest cause blounts disease
N.B → Blount disease (also known as tibia vara) refers to a local disturbance of growth of the medial proximal tibial epiphysis. The condition is commonly bilateral. .... so if the lesion affecting both articular surfaces we can exclude blount as it affects medial of proximal end of tibia
N.B → rickets (fraying , cupping of metaphysis )
N.B → Commonest cause for bowing in a chlid is phsiological bowing, which corrects at 3yrs, bowing due to blounts disease will progress
N.B → leukemia
N.B →rickets =cupping etc blount=tibial metaphyseal changes developmental blowing appears normal except bowing.
A- leukemia
b- syphilis
c- rickets***
d- blount disease
N.B → Bowing of legs in toddler, commonest cause blounts disease
N.B → Blount disease (also known as tibia vara) refers to a local disturbance of growth of the medial proximal tibial epiphysis. The condition is commonly bilateral. .... so if the lesion affecting both articular surfaces we can exclude blount as it affects medial of proximal end of tibia
N.B → rickets (fraying , cupping of metaphysis )
N.B → Commonest cause for bowing in a chlid is phsiological bowing, which corrects at 3yrs, bowing due to blounts disease will progress
N.B → leukemia
N.B →rickets =cupping etc blount=tibial metaphyseal changes developmental blowing appears normal except bowing.