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December 2003

By Theodore E . Keats, MD

 
 

A four-year-old boy complains of pain in both knees. What is your interpretation of this frontal view of the joints?

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ANSWER


The diagnosis is Blount's disease. More common in black children, the condition is thought to be an acquired developmental disturbance of the medial tibial epiphyseal-metaphyseal complex resulting from abnormal forces related to obesity, the adolescent spurt, or residual physiologic bow leg. In about half of all cases, it resolves spontaneously.

For further reading, see: F. Silverman and J. P. Kuhn, Caffey's Pediatric X-Ray Diagnosis, 9th ed., Mosby, 1993, p. 1834.

 

 

This series of diagnostic quizzes that challenge your ability to read a variety of x-ray films is edited by Dr. Keats, alumni professor of radiology at the University of Virginia School of Medicine in Charlottesville.

Emerg Med 35(12):69, 2003  



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