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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis

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Blount disease: an update.

Sanjeev Sabharwal¹

¹Division of Pediatric Orthopedics, Department of Orthopedics, Rutgers New Jersey Medical School, 90 Bergen Street, DOC 7300, Newark, NJ 07103, USA.

The Orthopedic Clinics of North America

|December 2, 2014

Summary

This summary is machine-generated.

Blount disease, a developmental disorder linked to childhood obesity, presents in early and late-onset forms. Surgical interventions like guided growth or tibial osteotomy are used for treatment, requiring close monitoring until skeletal maturity.

Keywords:

Blount disease Bow legs Genu varum Obesity Tibia vara

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Area of Science:

Pediatric Orthopedics
Developmental Biology
Medical Imaging

Background:

Blount disease is a developmental disorder associated with childhood obesity.
It is categorized into early-onset and late-onset forms based on the age of deformity onset (before or after 4 years).
Physeal abnormalities of the proximal tibia are characteristic, often accompanied by compensatory intra-articular knee changes.

Purpose of the Study:

To summarize the understanding of Blount disease, including its classification and associated findings.
To outline the current surgical management strategies for Blount disease.
To emphasize the importance of follow-up for optimizing clinical outcomes.

Main Methods:

Review of Blount disease characteristics, including age of onset and radiographic/MRI findings.
Description of surgical management options: guided growth and proximal tibial osteotomy (acute/gradual).
Emphasis on clinical follow-up protocols.

Main Results:

Blount disease involves proximal tibial physeal abnormalities and compensatory intra-articular knee changes, visible on MRI.
Both guided growth and proximal tibial osteotomy are established surgical treatments.
Frequent follow-up until skeletal maturity is crucial for optimal outcomes.

Conclusions:

Blount disease requires careful management considering its developmental and obesity links.
Surgical interventions are tailored to the specific presentation of the disease.
Long-term monitoring is essential for successful treatment of Blount disease.