In this section
Physiological knock knees is seen from three to five years of age; it resolves with growth by age eight
Knocked knees may be familial.
Determine the patient’s height and weight percentiles.
Measure intermalleolar distance in standing with knees together.
X-ray of knees if:
Reassure the parents that the majority of physiological knock knees will resolve with normal development by age eight, with no specific treatment required.
If concerned, serial measurement of intermalleolar distance every six months to document progression or resolution may be useful
Refer parents to
Bow legs and knock knees in children (fact sheet).