A child age 3 or older may experience a turning-in of the femur, or thighbone, called medial femoral torsion. This is sometimes referred to as femoral anteversion. Girls have a higher risk of developing medial femoral torsion. What are the symptoms of pigeon toes? In cases of metatarsus adductus, the symptoms are easy to see at birth or soon afterward. You may notice the outer edge of the foot is curved, almost in a crescent shape.
Internal tibial torsion may not be as obvious until your child starts walking. You may notice that one or both of their feet turn inward with every step. Medial femoral torsion may be noticeable after age 3, but obvious signs are usually present by age 5 or 6. In many cases, the foot and knee both turn in as your child walks. It may also be obvious even when your child stands in place.
There is a related condition called out-toeing. It describes feet that turn outward. The same bone development problems that lead to intoeing can also cause out-toeing.
Are there risk factors? All three causes of intoeing tend to run in families. A parent or grandparent who was pigeon-toed as a child may pass along this genetic tendency. Pigeon toes may accompany other bone development conditions affecting the feet or legs. How are pigeon toes diagnosed? Intoeing can be mild and barely noticeable. To diagnose intoeing and its likely cause, your doctor will observe your child stand and walk.
Imaging tests may include X-rays or CT scans to see how the bones are aligned. Or you may need to see a specialist in pediatric orthopedics if the condition appears to be severe. Are there treatments for pigeon toes? In cases of mild or even moderate intoeing, children tend to outgrow the problem without any treatment. Many kids have knock-knees genu valgum when they're between 3 and 6 years old.
Treatment is almost never needed because the legs usually straighten on their own. Out-toeing is when feet point outward while walking. It happens to a lot of kids when they are learning to walk. It's not painful and it usually gets better as kids grow older.
Toe walking is common among toddlers as they learn to walk. It often goes away by age 2, but lasts in some kids. If an otherwise healthy child keeps toe walking, doctors might recommend physical therapy to learn stretching exercises. Common Childhood Orthopedic Conditions. Gellner: A common concern parents have, is that their child's feet turn in. I'm Dr. Cindy Gellner , and today's topic on The Scope is Intoeing. Gellner: So what is intoeing? It's just like it sounds. Intoeing means the toes point inward.
There are several different causes, but it's very, very common in babies, and young children. A lot of people will refer to it as pigeon toed. So what does cause intoeing? Intoeing is observed in children less than 2 years old most often. It's caused by the shin bone, which is the tibia, the bigger of the two bones in the lower leg. That bone may be actually turned in a little bit. It's called tibial torsion, and it's caused because of how the baby is positioned when it's still inside the mother's womb before birth.
For children over 2 years old, if this intoeing is still present, or it's new, it's most common cause is due to the thigh bone being turned in at the hip. That condition is also caused from birth. It causes the knees, feet, and toes to point inward.
0コメント