37-Year-Old Female with Knee Alignment Concerns and Difficulty Closing Legs Completely

Case at a Glance

A 37-year-old female presents with bilateral knee prominence causing difficulty fully approximating her legs, without associated pain or functional limitation.

Patient's Story

The patient is a 37-year-old female (168cm, 66kg) with no significant medical history, non-smoker, not on any medications. She reports having prominent inner knee areas that make it difficult to completely close her legs together. She notes this appearance has been consistent even when she weighed 55kg previously. The patient denies any pain, discomfort, or functional limitations. She is uncertain whether this represents a normal anatomical variant or a structural abnormality that may require evaluation.

Initial Assessment

Physical examination revealed bilateral knee valgus alignment with prominence of the medial femoral condyles. The patient demonstrated mild knock-knee appearance, more pronounced on the left side. No pain on palpation, normal range of motion, and stable joint examination. The patient's gait appeared normal with no compensatory patterns observed.

The Diagnostic Journey

Clinical photography documented the knee alignment. The appearance was consistent with mild genu valgum (knock knees/valgus deformity). Given the absence of symptoms and mild degree of deformity, imaging studies were deferred initially. The condition appeared to be a structural variant rather than pathological deformity.

Final Diagnosis

Mild bilateral genu valgum (knock knees) - likely physiological variant

Treatment Plan

Conservative management approach recommended. Patient educated about the condition and advised to monitor for development of symptoms. Referral to orthopedic specialist suggested if symptoms develop or if patient desires formal lower limb alignment assessment. Physical therapy consultation discussed as preventive measure to strengthen supporting musculature and maintain joint stability.

Outcome and Follow-up

Patient expressed understanding of the condition and elected for watchful waiting approach. Advised to follow up with primary care physician for routine monitoring and to seek evaluation if pain or functional limitations develop. Patient reassured that many individuals with mild valgus alignment live without complications, though long-term joint health monitoring may be beneficial.