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What Are Knocked Knees?

Knock knees, also called genu valgum, is a type of knee condition. Knock knees occur when your knees tilt together, but your ankles stay apart. This condition usually affects ÑÇÖÞ×ÔοÊÓÆµren between 3–7 years old.

Most ÑÇÖÞ×ÔοÊÓÆµren experience some kind of knock knees as they grow. The condition usually corrects itself as your ÑÇÖÞ×ÔοÊÓÆµ gets older. However, if your ÑÇÖÞ×ÔοÊÓÆµâ€™s knock knees do not go away, they may need treatment.

What Causes Knock Knees?

Children start out bow-legged. As they grow, their legs begin to straighten. When they learn to walk, their knees tilt inward. The tilting causes their knees to touch, creating knocked knees. In most cases, your ÑÇÖÞ×ÔοÊÓÆµ will outgrow having knocked knees.

There are other conditions that can cause knock knees:

  • Metabolic problems with the bone

  • Injury or infection in the leg

  • Obesity or being overweight

Knock Knees Symptoms

The most common symptom of knock knees is visible when your ÑÇÖÞ×ÔοÊÓÆµ stands. If your ÑÇÖÞ×ÔοÊÓÆµ has knock knees, you may notice that your ÑÇÖÞ×ÔοÊÓÆµâ€™s knees touch and their ankles stay far apart.

Your ÑÇÖÞ×ÔοÊÓÆµ may also experience knee pain or join stiffness especially with activity.

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How Is Knock Knees Diagnosed?

Your ÑÇÖÞ×ÔοÊÓÆµâ€™s health care provider will perform a physical exam to check your ÑÇÖÞ×ÔοÊÓÆµ for knock knees. They will look at your ÑÇÖÞ×ÔοÊÓÆµâ€™s legs, knees, and ankles. Your provider may also measure the distance between your ÑÇÖÞ×ÔοÊÓÆµâ€™s ankle bones. If your ÑÇÖÞ×ÔοÊÓÆµ is older than two years old, your provider may suggest an X-ray.

Knock Knees Treatment

The first step in treating knock knees is pinpointing the cause of your ÑÇÖÞ×ÔοÊÓÆµâ€™s knock knees. Most cases of knock knees do not need treatment.

Treatment options depend on the age of your ÑÇÖÞ×ÔοÊÓÆµ and severity of their knock knees. Medications and nutrition supplements treat knock knees caused by rickets.

Knocked Knee Surgery

If your ÑÇÖÞ×ÔοÊÓÆµâ€™s knock knees do not improve with time and treatment, your provider may suggest surgery. Knock knee surgery is called guided growth surgery.

Guided growth surgery is an option for ÑÇÖÞ×ÔοÊÓÆµren still growing. Your ÑÇÖÞ×ÔοÊÓÆµâ€™s surgeon inserts a small metal bracket in your ÑÇÖÞ×ÔοÊÓÆµâ€™s knee to help direct future bone growth. The surgeon removes the growth plate when bone angle improves. In more severe cases, or for older ÑÇÖÞ×ÔοÊÓÆµren who are done growing, a surgery to cut and realign the bone may be needed.

Your pediatric surgeon may recommend simple exercises and physical therapy after surgery. Exercises and physical therapy can improve your ÑÇÖÞ×ÔοÊÓÆµâ€™s strength and range of motion.

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