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GrowthIllustrated guide

Knock knees and bow legs: shape, growth and symptoms

How bow legs and knock knees differ, and which changes to discuss at an appointment: three illustrations with explanations.

Front view comparison: bow legs on the left, with knees apart, and knock knees on the right, with knees close together.

Two different shapes

Bow legs are shown on the left: the knees are apart with the ankles close together. Knock knees are on the right: the knees are close with the ankles apart. The illustration explains the difference; it cannot measure or diagnose a deformity.

A preschool child standing with mild, symmetrical knock knees, observed at a growth review.

Interpreting shape alongside age

Leg alignment changes as a child grows. Age, symmetry, the pattern over time and function help establish whether the shape is a normal developmental variation.

A seated child points to a painful knee during an appointment, with feet supported and the mother beside them.

Pain or asymmetry deserves attention

Marked asymmetry, worsening alignment, pain or limping deserves assessment. Leg shape alone is not enough to choose treatment; normal developmental variations do not need special shoes to straighten the legs.

Illustrations and general information for families. They do not replace an individual medical assessment or instructions from the treating team.

Dr Daniele Priano — Paediatric orthopaedics

Read the complete condition information →

Sources

Need a specialist evaluation?

Book an appointment at Istituto Gaetano Pini or CTO Milan.