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Genu valgum, commonly called "knock-knee", is a condition in which the knees angle in and touch each other when the legs are straightened. [1] Individuals with severe valgus deformities are typically unable to touch their feet together while simultaneously straightening the legs.
Proper alignment of the prosthetic foot about the ankle joint causes metabolic cost [48] and gait symmetry at the anatomical hip and knee joints to improve, with hip flexion-extension motion being the most sensitive to alignment. [62] Excessive rotational misalignment of the foot is compensated by internal rotation of the residual hip joint. [63]
Knee: genu varum (from Latin genu = knee) — the tibia is turned inward in relation to the femur, resulting in a bowlegged deformity. Ankle: talipes varus (from Latin talus = ankle and pes = foot). A notable subtype is clubfoot or talipes equinovarus, which is where one or both feet are rotated inwards and downwards. [6] [7]
Common causes of knock-knee in adults include arthritis of the knee and traumatic injuries. Toe: hallux valgus (from Latin hallux = big toe) – outward deviation of the big toe toward the second toe, resulting in bunion. Wrist: Madelung's deformity – deformity wherein the wrist bones are not formed properly due to a genetic disorder.
Patients with knee injuries suspected to involve the posterolateral corner should have their gait observed to look for a varus thrust gait, which is indicative of these types of injuries. As the foot makes contact with the ground, the compartments of the knee should remain tight and stabilize the joint through the impact and movements of walking.
The anterolateral ligament (ALL) is a ligament on the lateral aspect of the human knee, anterior to the fibular collateral ligament. [1]Perhaps the earliest account of the ALL was written by French surgeon Paul Segond in 1879, in which he described a ligamentous structure between the lateral femur and tibia.
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The bones of the knee are the femur, patella, tibia, and fibula. The fibula is on the lateral side of the knee and the patella has little effect on the medial side of the knee. The bony congruity of the medial knee consists of the opposing surfaces of the medial femoral condyle and the medial tibial plateau.