Bow Legs in Children

Bow Legs is when there is a small gap between a child's knees and the ankles when standing with the feet together. This is normally seen in children until the age of two years. Between the ages of 2 - 4 the condition generally improves.


Referral Criteria

Physiotherapy is not appropriate

Refer to orthopaedics if

  • aged over 3 or above and any of the below
    • not improving
    • there is associated pain in the lower limbs
    • the problem is severe with gap between the knees greater than 6cm or asymmetrical
    • asymmetric hip abduction

Referral Instructions

e-Referral Service Selection

  • Specialty: Children's and Adolescent Services
  • Clinic Type: Orthopaedics
  • Service: DRSS-Western-Child&Adolescent-Devon CCG-15N

Referral Forms

DRSS referral form

Supporting Information

Pathway Group

This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.

Publication date: May 2017


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