Approach to pediatric rotational limb deformities

  title={Approach to pediatric rotational limb deformities},
  author={Huthayfa A. Kahf and Yazeed Kesbeh and Eric D. van Baarsel and Vandan Patel and Nicholas Alonzo},
  journal={Orthopedic Reviews},
Pediatric lower extremity complaints are a common source of concern for parents. Gait concerns such as in-toeing are considered a developmental variant of childhood growth and are a common reason for visits to a pediatrician. In-toeing specifically is a common anatomic structural variation encountered by pediatric primary care providers and pediatric orthopedic specialists and may be accentuated between six months and five years during which children are developing their coordination skills… Expand
2 Citations
The diagnosis and management of common childhood orthopedic disorders: An update.
The focus of this paper is to provide a systematic approach to this general musculoskeletal physical exam and to assist in the recognition of what conditions are normal development and what conditions require observation, workup and referral to an experienced pediatric orthopaedist. Expand


Common Rotational Variations in Children
Although congenital muscular torticollis is the most common explanation for the atypical head posture in children, more serious disorders, including osseous malformations, inflammation, and neurogenic disorders, should be excluded. Expand
Lower-extremity rotational problems in children. Normal values to guide management.
We studied 1,000 normal lower extremities of children and adults in order to establish normal values for the rotational profile. The intrauterine position of the fetus molds the femur by rotating itExpand
The intoeing child: etiology, prognosis, and current treatment options.
  • E. Harris
  • Medicine
  • Clinics in podiatric medicine and surgery
  • 2013
Intoeing, a common entrance complaint in infants, toddlers, and young children, is best defined as internal rotation of the long axis of the foot to the line of progression. Intoeing may be caused byExpand
Lower extremity torsional deformities in children: a prospective comparison of two treatment modalities.
The Denis-Browne splint did not alter the natural history of lower extremity torsional deformities as defined by the foot progression angle. Expand
Metatarsus adductus: Development of a non‐surgical treatment pathway
There was strong evidence supporting no treatment in the case of flexible MA and some limited evidence was found for the treatment of semi‐rigid MA. Expand
Surgical Management of Persistent Intoeing Gait Due to Increased Internal Tibial Torsion in Children
Children with symptomatic intoeing gait because of increased internal tibial torsion have characteristic primary and compensatory kinematic gait deviations that result in increased loading about the knee during the stance phase of gait. Expand
Spectrum of Diagnosis and Disposition of Patients Referred to a Pediatric Orthopaedic Center for a Diagnosis of Intoeing
Background: Orthopaedic surgeons frequently evaluate otherwise healthy children for concern of intoed gait. Intoeing in otherwise healthy young children due to metatarsus adductus, internal tibialExpand
Clinical Pediatric Orthopedics: The Art of Diagnosis and Principles of Management
Diagnosis in Neuromusculoskeletal Disorders: Congenital Deformities of the Neck and Upper Limb; Developmental Dysplasia of the Hip (Congenital Dislocation); Traumatic Disorders of Nerves. Expand
Femoral Version and Tibial Torsion are Not Associated With Hip or Knee Arthritis in a Large Osteological Collection
The results support the practice of treating tibial torsion and femoral anteversion based on the symptomatology of the patient and reassure parents of asymptomatic children that long-term consequences are unlikely. Expand
The investigation indicates that no treatment is required for pes calcaneovalgus or adductus deformity confined to the forefoot and no association was observed between sleeping prone and the presence of adduction deformity at the reexamination. Expand