Orthonotes
Orthonotes
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Blount’s Disease — Langenskiöld Classification

Pathologic varus from disordered endochondral growth of medial proximal tibial physis; early walkers/obesity risk. **Langenskiöld stages I–VI** describe progressive physeal/epiphyseal changes (beaking → depression → physeal bar). Differentiate from physiologic bowing using **metaphyseal–diaphyseal angle** (>11° suggests Blount). Management: **Bracing** in early Stage I–II (

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Pathologic varus from disordered endochondral growth of medial proximal tibial physis; early walkers/obesity risk. **Langenskiöld stages I–VI** describe progressive physeal/epiphyseal changes (beaking → depression → physeal bar). Differentiate from physiologic bowing using **metaphyseal–diaphyseal angle** (>11° suggests Blount). Management: **Bracing** in early Stage I–II (<3 yrs); **guided growth** (hemiepiphysiodesis) or **proximal tibial osteotomy** in advanced stages/older children. Adolescent Blount involves proximal tibial physis closure medially—osteotomy + sometimes external fixation for multiplanar correction.
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