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Pediatric genu valgum, commonly referred to as "knock knees," is a condition characterized by an inward angulation of the knees while the feet remain apart. This condition is often observed in young children, particularly between the ages of 2 to 5 years, as part of normal development. The physiological alignment of the lower limbs changes as children grow, with the knees naturally straightening out as they approach adolescence. In many cases, genu valgum in children is temporary and resolves on its own without intervention. However, persistent or severe cases may require medical evaluation and treatment, particularly if associated with other signs of discomfort or functional limitations. The etiology of pediatric genu valgum can be multifactorial, often stemming from genetic predisposition, nutritional deficiencies (such as vitamin D deficiency leading to rickets), or underlying conditions such as skeletal dysplasia or inflammatory diseases. Diagnosis typically involves a careful clinical examination, during which healthcare professionals assess the child's alignment, gait, and any related symptoms. X-rays may be performed in some cases to rule out underlying bone abnormalities. While mild genu valgum is usually a normal part of growth and development, healthcare providers may monitor more significant cases to ensure that they do not progress and interfere with the child's mobility or quality of life. Treatment options vary based on the severity of the condition and its underlying causes. In many instances, conservative management, which includes observation and physical therapy, may be sufficient, especially if the condition is mild and the child is asymptomatic. In cases where genu valgum is not resolving or is associated with pain, orthopedic intervention may be necessary, which could include the use of braces or, in rare cases, surgical procedures to correct the alignment of the legs. Parents are often advised on the importance of encouraging physical activity to support the development of strong muscles around the knee joint, which can help in managing symptoms. Education about proper footwear and practices can also play a role in mitigating any discomfort associated with the condition. Overall, early detection and appropriate management of pediatric genu valgum are crucial for optimal outcomes. Regular follow-up with pediatricians or orthopedic specialists helps ensure that the child's development remains on track and that any interventions needed are provided in a timely manner. Understanding the nature of genu valgum, its potential implications, and the importance of supportive care is essential for parents and caregivers as they navigate the complexities of their child's growth and development.