Genu Valgum GP Notebook

Description: Genu valgum is frequently seen between the ages of 2 and 4 years. The condition is usually benign if symmetrical and independent of any other abnormality. The majority of cases resolve by the age of 6 years. The degree of genu valgum is assessed by measuring the inter-malleolar gap. This is the distance between the two malleoli when the knees are gently touching with the legs in adduction. An inter-malleolar gap of 4 inches (or less) at 4 years-of-age normally will correct with growth. If the condition is severe and progressive then rickets or scurvy must be considered.