Genu Recurvatum Congenitum in a day old Nigerian female neonate: A case report and challenges in the management in a resource-poor country

Genu recurvatum congenitum (GRC) is a Greek phrase that literally translates to 'backward-bending of the knee that is noticed at birth'. It is a rare condition of unknown aetiology resulting in exaggerated knee hyperextension and marked limitation of flexion. GRC may be unilateral or bilateral. It may occur in isolation or associated with other anomalies such as congenital hip dislocation (CDH) or congenital talipes equinovarus deformity (CTEVD). Though rare, it is easy to diagnose and treatment commonly involves gentle manipulation and serial casting, especially if presentation is early. Unfortunately, late presentation or refusal of treatment is the case in resourcepoor countries such as Nigeria, due mainly to financial constraints and traditional beliefs. We present this rare case of a bilateral GRC in a day old Nigerian female neonate and also highlight the challenges in the management in a resource-poor country