{"id":4077,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/knockkneesgenuvalgum\/"},"modified":"2024-12-30T14:43:50","modified_gmt":"2024-12-30T14:43:50","slug":"knockkneesgenuvalgum","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatricorthopaedics\/knockkneesgenuvalgum\/","title":{"rendered":"Knock knees\/Genu Valgum"},"content":{"rendered":"\n<p>\u200b<strong>Information<\/strong><\/p>\n\n\n\n<p>Normal variant seen in pre-school children.<\/p>\n\n\n\n<p>When standing with knees together,&nbsp; observe the distance between their medial malleoli (ankle bones). A distance of up to 8 cm is considered to be normal. <\/p>\n\n\n\n<p>This presentation should self-correct over time.<\/p>\n\n\n\n<p><strong>M.A. &amp; M-J.S. 17-04-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Refer directly to Paediatric Orthopaedics for further investigation (physiotherapy cannot correct knock knees)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>unilateral or asymmetric<\/li>\n\n\n\n<li>inter-malleolar distance (distance between ankles) in greater than 8cm<\/li>\n\n\n\n<li>pain<\/li>\n\n\n\n<li>functional \/ ADL difficulties<\/li>\n\n\n\n<li>persistent or worsening ankle gap of more than 8cm that persists past late primary school&nbsp;<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>\u200b<a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Normal-Lower-Limb-Variants-in-Childhood-RHCYP-V2.0.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Normal-Lower-Limb-Variants-in-Childhood-RHCYP-V2.0.pdf<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;Information Normal variant seen in pre-school children. When standing with knees together,&nbsp; observe the distance between their medial malleoli (ankle bones). A distance of up to 8 cm is considered to be normal. This presentation should self-correct over time. M.A. &amp; M-J.S. 17-04-24<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4268,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[763],"class_list":["post-4077","page","type-page","status-publish","hentry","category-https-apps-testing28-scot-nhs-uk-refhelp-guidelines-knockkneesgenuvalgum"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/paediatric\/paediatricorthopaedics\/https-apps-testing28-scot-nhs-uk-refhelp-guidelines-knockkneesgenuvalgum\/\" rel=\"tag\">Knock knees\/Genu Valgum<\/a>","rttpg_excerpt":"&#8203;Information Normal variant seen in pre-school children. When standing with knees together,&nbsp; observe the distance between their medial malleoli (ankle bones). A distance of up to 8 cm is considered to be normal. This presentation should self-correct over time. M.A. &amp; M-J.S. 17-04-24","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4077","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=4077"}],"version-history":[{"count":4,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4077\/revisions"}],"predecessor-version":[{"id":22313,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4077\/revisions\/22313"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4268"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=4077"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=4077"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}