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In Blount's disease and in congenital longitudinal deficiency of the tibia [20], the involved or more severely affected limb is shorter than the contralateral one; in physiologic genu varum the lower limb lengths are even.
The metaphyseal-diaphyseal (MD) angle helps with the grading of Blount's disease.
The diagnosis of Blount's disease is based on several radiographic changes in the proximal tibia best visualized with standing anteroposterior images of both legs.