Tibial Valgus: What Does a 96-Degree Angle Mean? - Orthopedics

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Tibial external rotation <= correct?


I went to the hospital today for an X-ray of my knee.
The doctor said I have tibial varum (not sure if that's the correct term).
He mentioned that my angle is 96 degrees and that I can apply for a discharge from duty.
I'm not sure what this position means.
Could Dr.
Zhang please help me understand? Thank you.

Miluba, 20~29 year old female. Ask Date: 2003/11/08

Dr. Zhang Shengben reply Orthopedics


If the internal or external rotation exceeds 5 degrees, a consultation at a military hospital is recommended for evaluation.

Reply Date: 2003/11/08

More Info


Tibial valgus, often referred to as "knock-knees," is a condition where the tibia (shinbone) angles inward, causing the knees to be closer together than the feet when standing. The angle you mentioned, 96 degrees, is significant in the context of assessing the alignment of the lower extremities. In a healthy knee alignment, the angle between the femur and the tibia should ideally be around 180 degrees. A measurement of 96 degrees indicates a substantial deviation from normal alignment, suggesting a significant degree of tibial valgus.

In clinical practice, tibial valgus is often evaluated using a variety of imaging techniques, including X-rays, which can help visualize the alignment of the bones. The angle of 96 degrees you received from your physician likely refers to the angle formed between the femur and the tibia at the knee joint. This degree of valgus can lead to various complications, including knee pain, osteoarthritis, and increased stress on the ligaments and cartilage of the knee joint.

Regarding your inquiry about military service, many countries have specific medical standards for enlistment, and significant musculoskeletal issues like tibial valgus can be grounds for disqualification. The rationale behind this is that individuals with pronounced tibial valgus may be at a higher risk for knee injuries and chronic pain, which could impair their ability to perform military duties effectively.

In terms of treatment options, if conservative measures such as physical therapy and bracing do not alleviate symptoms, surgical intervention may be considered. Common surgical procedures for severe tibial valgus include osteotomy, where the bone is cut and realigned to correct the angle, or arthroscopy to address any associated joint issues. The decision to proceed with surgery typically depends on the severity of the condition, the degree of pain, and the impact on daily activities.

As for the implications of a 96-degree angle, it is essential to understand that this condition can lead to a cascade of biomechanical issues. Over time, the misalignment can cause wear and tear on the knee joint, leading to conditions such as patellofemoral pain syndrome or even early-onset osteoarthritis. Additionally, individuals with tibial valgus may experience compensatory changes in their gait, which can lead to pain in other areas, such as the hips or lower back.

In summary, a 96-degree angle indicating tibial valgus is a significant finding that warrants further evaluation and potential intervention. If you are experiencing persistent pain, it is crucial to discuss your options with an orthopedic specialist who can provide a tailored treatment plan based on your specific condition and lifestyle needs. Furthermore, if you are facing military service obligations, it may be beneficial to seek a formal evaluation to understand your eligibility based on your current health status.

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