Valgus deformity

Knee arthritis with valgus knee

Rheumatoid knee commonly presents as valgus knee. Osteoarthritis knee may also sometimes present with valgus deformity though varus deformity is common. Total knee arthroplasty (TKA) to correct valgus deformity is surgically difficult and requires specialized implants called constrained condylar knees.

Examples

• Ankle: talipes valgus (from Latin talus = ankle and pes = foot) – outward turning of the heel, resulting in a 'flat foot' presentation.
• Elbows: cubitus valgus (from Latin cubitus = elbow) – forearm is angled away from the body.
• Foot: pes valgus (from Latin pes = foot) – a medial deviation of the foot at subtalar joint.
• Hand: manus valgus (from Latin manus = hand)
• Hip: coxa valga (from Latin coxa = hip) – the shaft of the femur is bent outward in respect to the neck of the femur. Coxa valga 125 degrees. Coxa vara
• Knee: genu valgum (from Latin genu = knee) – the tibia is turned outward in relation to the femur, resulting in a "knock-kneed" appearance. 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.

Terminology

Valgus is a term for outward angulation of the distal segment of a bone or joint. The opposite condition is called varus, which is a medial deviation of the distal bone. The terms "varus" and "valgus" always refer to the direction in which the distal segment of the joint points. The original Latin definitions for varus and valgus were the opposite of their current usage. For a discussion of the etymology of these words, see the entry under varus. A mnemonic to remember the two deformities is that valgus contains an "L", for Lateral deviation.

References

• Canale & Beaty: Campbell's Operative Orthopaedics, 11th ed. - 2007 - Mosby, An Imprint of Elsevier
• Bowed Leg (Varus) and Knock-Knee (Valgus) Malalignment: Everything You Need to Know to Make the Right Treatment Decision-Understanding lower limb malalignment-Tibial osteotomy for bowed legs, Noyes, Frank R. and Barber-Westin, Sue, Amazon Digital Version, Publish Green (October 6, 2013)

References

1. [http://emedicine.medscape.com/article/1358051-overview Pediatric Ankle Valgus article in MedScape]
2. "Charlton T. Lewis, Charles Short, A Latin Dictionary, V , Vargŭla , vārus".