Measurement of the Metaphyseal-Diaphyseal Angle
diagrams under construction

for Differentiation between Physiologic Bowing and Tibia Vara

Age (months) Metaphyseal-Diaphyseal Angle (degrees)
Physiologic bowing  Average (Range)
11-20  5.1 + 2.8  (0-11)
21-30  3.7 + 3.1 (0-10)
Tibia vara 
11-20  16.4 + 4.3(8-22)
21-30  13.7 + 4.3 (7-22)
Reference: Keats TE  Atlas of Roentgenographic Measurement.  Mosby Year Book: St. Louis. 1990. p. 314..

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