Genu Valgus and Varus deformity

Genu Valgus and Varus deformity

According to my Injury classification system, Knee valgus and varus deformity with no other associated condition, is considered Level 1 Injury, as per the main dysfunction being found at the first Alignment protective layer. Knee varus and valgus indicates the degree of bowing at the knees. Varus represents a significant amount of lateral deviation of the knee (increase bowing) compromising the lateral structures of the knee. Valgus indicates an increase deviating medially (increase ‘’Q’’ angle) overloading the inner knee structures overtime.

Knee valvus and vaurs deformities and the corresponding misalignments

Valgus; Internally rotated pelvis and Internal femur  misalignments. May lead medial collateral ligament and meniscus damage

Varus; Externally rotated pelvis and external femur misalignments. May lead to lateral collateral ligament and meniscus damage

 

Assessment

The entire Lower extremity biomechanical chain must be evaluated as per the neurological and mechanical influences of the pelvis, hip, and foot.

Clinical evaluation of the knee and patella alignment as well as visualizing the pattern of compensation presence on the lower extremity.

X-ray analyses

Anterior – Posterior (AP) knee view is essential to evaluate the degree of misalignment involved in this deformity.

Lateral x-ray lateral view is important to properly visualize the rotational misalignments of the femur.

 

Treatment protocol

Specific adjustments to the knee joint

Stretching and strengthening of specific hip and knee muscle groups

Functional taping may be used in the beginning of the treatment

Depending on the level of deformity and chronicity, minimum 6 weeks of care is advisable to resolve this condition.

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