Blount's disease

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Blount's disease
Other namesTibia vara
Blount's disease is inherited in an autosomal recessive manner (may be multifactorial as well).[1]
SpecialtyRheumatology Edit this on Wikidata

Blount's disease (or Blount disease) is a growth disorder of the

bowleg.[citation needed][2] It is also known as "tibia vara".[3][2]

Signs and symptoms

Cause

Blount disease is a growth disorder of the

bowleg. It can present in boys under 4-years in both legs, or in adolescents usually on one side. Causes are thought to be genetic and environmental, like obesity, African-American lineage, and early walkers.[4]

Diagnosis

Differential diagnosis

Lower extremity deformities in

Osteochondrodysplasias or genetic bone diseases can cause lower extremity deformities similar to Blount's disease. The clinical appearance and the characteristic radiographic are important to confirm the diagnosis.[6][7]

Staples for epiphysiodesis in the bone, Blount's disease treatment - rtg. snapshots and biomechanical experiments[8]

Treatment

Children who develop severe bowing before the age of 3 may be treated with knee ankle foot orthoses.[9] However, bracing may fail, or bowing may not be detected until the child is older. Bracing should be started by 3 years of age. In some cases, surgery may be performed.[10][2][11][8]

Blount disease is one of the 8 severe comorbidities of

severe obesity (BMI >35), which are an indication for bariatric surgery in children per a 2019 policy statement of the American Academy of Pediatrics
. The other severe comorbidities are: obstructive sleep apnea (Apnea-Hypopnea Index > .5), Type2 Diabetes mellitus, idiopathic intracranial hypertension (IIH), nonalcoholic steatohepatitis, SCFE, GERD, and hypertension.[12]

Etymology

Blount disease is named after Walter Putnam Blount (1900–1992), an American pediatric orthopedic surgeon, who described it in 1937.[13][14] It has also been known as Mau-Nilsonne syndrome, after C. Mau and H. Nilsonne, who published early case reports of the condition.[15][16] it is today considered an acquired disease of the proximal tibial metaphysis rather than an epiphyseal dysplasia or osteochondrosis.[11]

References

  1. ^ "OMIM Entry 259200 - BLOUNT DISEASE, ADOLESCENT". omim.org. Retrieved 7 November 2017.
  2. ^ .
  3. .
  4. ^ Dakshina Murthy T S. S; Alessandro De Leucio. Blount Disease Treasure Island (FL): StatPearls Publishing; 2022 January.
  5. PMID 32159063
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  13. Who Named It?
  14. ^ W. P. Blount. Tibia vara: osteochondrosis deformans tibiae. Journal of Bone and Joint Surgery, Boston, 1937, 19: 1-29.
  15. ^ Mau, C. (1923/24) Genu varum bedingt durch Tihiaepiphysendefekt bei Kartilaginärer Exostose. Z. orthop. Chir. 44, 383.
  16. ^ Nilsonne, H. (1929) Genu varum mit eigentümlichen Epiphysenveränderungen. Acta chir. scand. 44, 187.

External links

  • Dakshina Murthy T S. S; Alessandro De Leucio. Blount Disease Treasure Island (FL): StatPearls Publishing; 2022 Jan-.