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Infantile blount disease: a case report
A Taksande1, A Kumar2, K Vilhekar3
1MBBS, MD, Senior Lecturer, Department of Pediatrics, Mahatma Gandhi Institute of Medical Sciences.
Summary
Blount disease, a tibial growth disorder, causes lower limb bowing in infants. This case highlights an 18-month-old boy with bilateral bowing, diagnosed via imaging, confirming infantile Blount disease.
Area of Science:
- Pediatric Orthopedics
- Skeletal Dysplasias
- Pediatric Radiology
Background:
- Blount disease is an acquired pediatric growth disorder affecting the proximal tibia's medial aspect (physis, epiphysis, metaphysis).
- Infantile Blount disease typically manifests as bilateral lower limb bowing and length discrepancies.
- Clinical presentation may include a palpable, non-tender bony protuberance on the medial proximal tibia.
Observation:
- An 18-month-old boy presented with bilateral lower limb bowing.
- Biochemical investigations were within normal limits.
- Radiological surveys were performed to evaluate the bowing.
Findings:
- Radiological findings confirmed the diagnosis of Blount disease.
- The case illustrates a typical presentation of infantile Blount disease.
Implications:
- Early diagnosis of Blount disease is crucial for appropriate management.
- Understanding the radiographic features aids in differentiating Blount disease from other causes of pediatric limb deformity.
- This case underscores the importance of clinical and radiological correlation in pediatric orthopedic conditions.
