Abstract
Posteromedial bowing tends to resolve spontaneously as the child grows. Unlike anterolateral bowing, in children with posteromedial bowing there is no risk of the tibia fracturing and a pseudarthrosis developing. The calcaneovalgus deformity of the foot that may be quite severe at birth improves quite rapidly. The valgus deformity of the ankle may persist on account of residual medial bowing of the distal tibia. In some children physeal growth abnormalities may be present and may contribute to persistence of deformity. No intervention is necessary if adequate resolution of the deformity of the foot and the tibia has occurred and if the limb length inequality is less than 2 cm at skeletal maturity. A valgus deformity of the ankle may persist on account of the bowing of the distal tibia or due to abnormal physeal inclination and asymmetric growth.
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