title: Blount disease: an update.
abstract: Blount disease is a developmental disorder associated with childhood obesity. Based on whether the deformity is first noted before or after 4 years of age, early-onset and late-onset forms of Blount disease have been described. Besides physeal abnormalities of the proximal tibia, compensatory changes in the intra-articular morphology of the medial compartment of the affected knee are often noted on MRI scan. Both guided growth and acute and gradual correction via a proximal tibial osteotomy have roles in the surgical management of these patients. In order to optimize clinical outcome, frequent follow-up until skeletal maturity is recommended.
authors.affiliation: Division of Pediatric Orthopedics, Department of Orthopedics, Rutgers New Jersey Medical School, 90 Bergen Street, DOC 7300, Newark, NJ 07103, USA. Electronic address: sabharsa@njms.rutgers.edu.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Sabharwal
mesh_terms: D000293:Adolescent; D001848:Bone Diseases, Developmental / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D009765:Obesity / Q000150:complications / Q000473:pathology; D055034:Osteochondrosis / Q000151:congenital* / Q000175:diagnosis / Q000209:etiology / Q000601:surgery
keywords: Blount disease; Bow legs; Genu varum; Obesity; Tibia vara