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Tibial torsion (medial)

Authoring team

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:

  1. GP (April 15th 2005), 67.

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