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Cubitus Varus and Cubitus Valgus – Deformity, Evaluation and Treatment

Cubitus varus is most commonly caused by malunion of a childhood supracondylar humerus fracture and typically produces a three-dimensional gunstock deformity. Cubitus valgus is classically associated with lateral condyle nonunion or malunion and may lead to tardy ulnar nerve palsy. Evaluation should assess carrying angle, range of motion, instability, neurological status and the coronal, sagittal and rotational components of deformity. Mild asymptomatic cases may be observed, while significant cosmetic, functional, unstable or neurological deformities usually require corrective osteotomy. Treatment should correct the underlying deformity and associated pathology, with ulnar nerve decompression or transposition considered when symptomatic neuropathy is present.

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Cubitus varus is most commonly caused by malunion of a childhood supracondylar humerus fracture and typically produces a three-dimensional gunstock deformity. Cubitus valgus is classically associated with lateral condyle nonunion or malunion and may lead to tardy ulnar nerve palsy. Evaluation should assess carrying angle, range of motion, instability, neurological status and the coronal, sagittal and rotational components of deformity. Mild asymptomatic cases may be observed, while significant cosmetic, functional, unstable or neurological deformities usually require corrective osteotomy. Treatment should correct the underlying deformity and associated pathology, with ulnar nerve decompression or transposition considered when symptomatic neuropathy is present.
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