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January 30, 1954


Author Affiliations

Ann Arbor, Mich.

From the departments of radiology and pediatrics, University of Michigan.

JAMA. 1954;154(5):390-394. doi:10.1001/jama.1954.02940390014004

The developing child is the center of parental adoration as well as a point of critical evaluation by wellmeaning relatives and friends. One of the situations in which he is watched and appraised closely is when he begins to stand and walk. Any abnormalities, imaginary or otherwise, observed in the over-all appearance of the child are certain to arouse comment and become a source of worry to the parents. Outward bowing of the lower extremities is a cause of particular concern.

It is recognized anthropologically that virtually all infants have some degree of genu varum deformity that frequently persists into the second or third year of life before normal physiological development converts the mild bowing into an equally mild degree of genu valgum.1 In some instances the bowing is largely due to normal distribution of adipose tissue, which in infancy tends to be more heavily deposited on the outer

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