A parent is concerned that a 12-month-old child is "bow-legged." A physical examination reveals internal tibial torsion bilaterally. A radiograph reveals asymmetric bowing of the legs with an angle greater than 15 degrees. What is the correct action for the primary care pediatric nurse practitioner?

Question

Quizplus · Accepted Answer

Asymmetric bowing of the legs with an angle greater than 15 degrees requires a referral to a pediatric orthopedic specialist for evaluation and treatment. Internal tibial torsion is a common condition in young children, but if it is concurrent with significant bowing or is asymmetric, it could cause long-term problems and will require treatment. Observation alone is not adequate in this situation. Physical therapy may be helpful but is not the primary or initial treatment for this condition. Reassurance alone may not be appropriate if significant deformity is present.

A Parent Is Concerned That a 12-Month-Old Child Is "Bow-Legged