12 months baby boy on weaned food having mild curvature in both extrimeties I have also attached vidio in oder to check out the walk down of baby Kindly suggest Dx and Rx

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Genu Varum, usually seen in Rickets Differential diagnosis Vitamin D dependent Ricket - type I Vitamin D dependent Ricket - type II Vitamin D resistant ricket Hypoparathyroidism Renal tubular acidosis Adv Serum vitamin D level Serum parathyroid hormone level Serum alkaline phosphatase Serum calcium and phosphorus Serum bicarbonate

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Nutritional Rickets usually present at this age with bowing of legs Xray may not show active rickets But 6 months of calcium and vit D supplements and sunlight exposure will reverse the changes Bowing will correct with age by remodeling May take a few years Need xray both knee ap Xray both wrist ap Another cause of Bowing is Blount's disease Xray knee will rule out this Dietary advice also needed

? RICKETS WITH .. ASSOCIATED DEFORMITIES.. NEED'S .. VITAMIN D SUPPLEMENTS.. EXPERTS OPINION..

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Bowing of legs is physiological upto 2 yrs of age...for that need of rx Any other findings? Like frontal bossing, abdominal distension, delayed dentition.. if yes then we can think about tickets

For physiological bowing of legs.. no need of rx...
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Bowing of legs Rickets nutritional Vit D Defeciency

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Adv vit D level, Sos replacement. Adv orthopaedics opinion.

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Wait and watch .Nothing needs to be done. Normal course of knee angulation is : -Varus till 18months -Then neutral and starts going into valgus. -Attains normal valgus angle at around 7years

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It's metabolic disorder like rickets. Plz go through with bone examination and treatment . It's a gradually improving case so council parents about it.

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Rickets . Vitamin D deficiency complications.

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Janu velgum History in family Opinion of paed orthopedic Operating possible

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