Genu Recurvatum (congenital)

Aetiology

  • 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
  • arthrogryposis & myelodysplasia
  • club feet
  • DDH
  • congenital anomalies

Treatment

  • nonoperative
    • initially
      • begin nonoperative as above
  • operative
    • if < 30° flexion at 3 months
      • operative release