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genu recurvatum

hyperextension of the knee (knee bent backward) with forward curvature of the lower leg Etiology: - most commonly acquired condition secondary to changes of the distal skeletal joint alignments & compensatory movement patterns [1] - may be caused by an abnormal fetal position inside the womb - Osgood-Schlatter disease Epidemiology: - commonly acquired deformity found in many rehabilitation populations Pathology: - affects energy-efficient ambulation - the thigh & lower limb segments move posteriorly in direct opposition to the anterior advancement of the proximal body mass over the fixed distal base of support [1] Notes: - may be associated with a rare birth disorder characterized by a) painful menstruation b) knees bent back c) a uterus that is tilted backwards (retroverted) [2]

General

genu hyperextension gait ataxia

References

  1. Fish DJ and Kosta CS Genu Recurvatum: Identification of Three Distinct Mechanical Profiles http://www.oandp.org/jpo/library/1998_02_026.asp
  2. Genu Recurvatum WD: wrongdiagnosis.com http://www.wrongdiagnosis.com/medical/genu_recurvatum.htm
  3. Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013