Your child’s growth and development is important to not only you but also your pediatrician. As you manage and monitor your child’s development, it is important to maintain regular office visits with your pediatrician to ensure your child’s development is progressing normally.
For some children, the routine health examinations often lead to the discovery of a lower extremity complication involving abnormal development of the legs, knees, ankles or feet. Generally classified as either a rotational complication or an angular complication, children who suffer from irregular lower extremity development, often, resolve the condition without the need for medical treatment.
As part of your child’s evaluation of the lower extremities, the pediatrician should not only examine your child’s rotation and angle presentation, but should also evaluate these findings against your child’s height and weight.
Your child’s torsional profile is important to the evaluation of lower extremity complications in development. As a composition of many measurements, the torsional profile provides a comparison analysis of your child’s lower extremity rotation and angle as well as the severity of any abnormalities.
It is important to understand, however, that your child’s bow legs, in-toeing and angular complications are quite common during child development. In fact, the first two years of life may leave you quite frustrated with the ever increasing change in your child’s lower extremity function. At about two years of age, focus should begin to be made at the lower extremity, creating a baseline of any potential complications or changes that occur over the next five years. Often, when the child is going to develop a permanent lower extremity complication, the complication will present during this period when the pelvis continues to widen.
At the sign of any questionable lower extremity development, whether rotationally or angular, it is important to request that your pediatrician refer your child to an orthopedic for further evaluation. While the complication may be a standard part of growth of and development, the evaluation by an orthopedic will supply a second opinion.
As with any orthopedic complication associated with child growth and development, the key to your child’s optimal growth potential lies in the early diagnosis and treatment of conditions such as rotational or angular lower extremity deformities. While the first two years of life are not of significant concern, any abnormal development beyond this period should be closely managed by a healthcare professional that specializes in childhood orthopedic disorders.