Tibial torsion (medial)
Extremely common and provided it is symmetrical and the child is developmentally normal, it will usually correct by age 4.
- this condition generally presents with intoeing in toddlers aged between one and three years
- with child sitting, lateral malleolus is in front of medial. Also normally anterior superior iliac spine, patella and hallux in line
- more commonly affects the left tibia than the right.
- most cases resolve spontaneously
- in a tiny proportion of cases a derotational osteotomy may be indicated
Reference:
- GP (April 15th 2005), 67.
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