A 2 year and 9-month-old male presented to Orthopedic Clinic for follow-up with a worsening valgus deformity of his right knee. The first visit was in March. Approximately thirteen months ago, his mother states the patient complained of some right leg pain and a limp, both of which had resolved over time. She has noticed a progressive cosmetic deformity of the leg without any complaints of pain or functional limitation in running or walking. There was a question of a traumatic event given the history.
The injury was not considered to be significant; therefore, no x-rays were performed to document the possibility of a fracture. Physical Exam: Moderate to severe genu valgum of 25 degrees of the right knee and 5 degrees of the left knee genu valgum was observed. The right knee had full, painless range of motion without ligamentous instability. The left iliac crest was higher than the…