Case: Paediatric radiograph #61857167
Paediatric Advanced
Read this radiograph systematically before revealing the answer. What is the main abnormality?

Image: Hellerhoff via Wikimedia Commons · CC BY-SA 3.0 · source · resized and converted to WebP
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Answer: Blount disease (tibia vara)
What to look for in blount disease (tibia vara)
- Varus (bowing) deformity centred at the proximal tibial metaphysis.
- Depression and beaking of the medial proximal tibial metaphysis.
- Distinguished from physiological bowing by the metaphyseal changes and an abnormal metaphyseal-diaphyseal angle.
Description by the image author (may be in another language): Röntgenbild beider Beine bei Morbus Blount bei einem gut 1,5-jährigen Mädchen: Beidseits, links mehr als rechts, zeigt sich eine deutliche Varusdeformität mit Unregelmäßigkeit der Wachstumsfuge und Absenkung der Tibiametaphyse medial. Geringe Schrägstellung der Tibiametaphyse beidseits.
Educational case. The diagnosis comes from the image's documented source; the "what to look for" list describes the condition in general and is not a report of this individual image.

