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Bow legs


Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • No category 1 criteria
  • Category 2
    (appointment within 90 calendar days)
    • Ongoing pain in lower limbs
    • After a traumatic event
  • Category 3
    (appointment within 365 calendar days)
    • Persistence of bow legs after three (3) years of age
    • Intercondylar separation > 6 cm
    • Asymmetrical deformity
    • Excessive deformity
    • Progressive deformity
    • Other associated skeletal deformity such as height below 5th percentile for age
    • Joint movement limitation

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Clinical history and examination including key points:
    • evolution and duration of symptoms, and associated complaints (onset, progression)
    • history of infection, trauma, fracture
    • treatment prescribed and efficacy
    • current and past medical history and medications
    • relevant family history associated to this condition i.e. siblings/parents with same condition
    • risk factor for rickets
  • Growth parameters (height below 3rd percentile)
  • Observation of gait
  • Weight bearing long leg XR if:
    • unilateral deformity
    • progressive deformity
    • lack of spontaneous resolution
    • aged over three years old

3. Additional referral information Useful for processing the referral

  • Dietary and vitamin intake

4. Request

Last updated: 13 June 2023