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Knock knees


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 significant knock knees beyond age eight
    • Intermalleollar separation > 8 cm
    • Asymmetrical deformity
    • Progressive deformity or lack of spontaneous resolution
    • Other associated skeletal deformity such as height below 5th centile for age

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
    • treatment prescribed (analgesics, physiotherapy)
    • current and past medical history and medications
    • relevant family history associated to this condition i.e. siblings/parents with same condition
  • Weight bearing long leg XR if:
    • unilateral deformity
    • progressive deformity
    • lack of spontaneous resolution
    • over 8 years of age

3. Additional referral information Useful for processing the referral

  • No additional information

4. Request

Last updated: 13 June 2023