Timely diagnosis of malalignment of the distal extremities is crucial in morbidly obese juveniles.

摘要: Background/Aims: To determine i) whether obesity in childhood can be related to malalignment of the distal extremities, ii) proportion genu valgum and abduction setting, iii) respective deviation dominance children who are morbidly obese. Methods: 31 obese Caucasian (16 males) recruited for STYJOBS Study (ClinicalTrials.gov Identifier NCT00482924) with a mean age 13.9 ± 0.5 years, height 162.3 2.7 cm, weight 90.62 5.0 kg, BMI 33.8 1.2 kg/m2 were clinically examined using Mikulicz line order assess load distribution on knee joint. 21 participants received whole-leg X-ray because estimated malalignment. Results: 8/31 diagnosed valgum, 1/31 varum, 22/31 did not have any femur or tibia. The majority presentation was due femoral deviation. Of those without malalignment, 4/22 had an while 2/22 showed adduction leg. Conclusion: Genu as predominant extremities is frequent youth morbid obesity. Timely guided correction angular deformity seems pivotal avoid osteotomy osteoarthritis later life.