Beals reviews the classification, evaluation, and management of coxa vara in children, asking: how should etiology and anatomic location guide prognosis and treatment selection across the developmental, congenital, dysplastic, and traumatic subtypes?
When you see a child with a decreased neck-shaft angle, use the dual classification framework — identify the anatomic level (physeal vs. subtrochanteric) and the etiology — because natural history and operative timing differ fundamentally: physeal types need Hilgenreiner's angle monitoring and early valgus correction when progressive, while vascular and septic types require tracking the femoral head–trochanter distance and timely trochanteric intervention to preserve abductor mechanics.
Beals reviews the classification, evaluation, and management of coxa vara in children, asking: how should etiology and anatomic location guide prognosis and treatment selection across the developmental, congenital, dysplastic, and traumatic subtypes?
When you see a child with a decreased neck-shaft angle, use the dual classification framework — identify the anatomic level (physeal vs. subtrochanteric) and the etiology — because natural history and operative timing differ fundamentally: physeal types need Hilgenreiner's angle monitoring and early valgus correction when progressive, while vascular and septic types require tracking the femoral head–trochanter distance and timely trochanteric intervention to preserve abductor mechanics.