Genu Recurvatum

Congenital

secondary to intra uterine posture
- these are flexible
- respond to nonoperative management
  - gentle manipulation should start at birth
  - tibia is brought posterior to the femur as the knee is flexed
  - after manipulation the desired correction may be held with a cast
associations
- congenital dislocation of the knee
  - usually severe cases
- arthrogryposis & myelodysplasia
- club feet,
- DDH
- congenital anomalies
treatment
- nonoperative
  - initially
    - begin nonoperative as above
- operative
  - if < 30° flexion at 3 months
    - operative release