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Tibial torsion. Normal values in children.

R Valmassy, B Stanton

    Journal of the American Podiatric Medical Association
    |September 1, 1989
    PubMed
    Summary

    In-toeing and out-toeing in children are often linked to tibial torsion. This study established normal tibial torsion values in children aged 1.5 to 6 years using a Tractograph for better gait analysis.

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    Area of Science:

    • Orthopedics
    • Pediatric Gait Analysis
    • Biomechanics

    Background:

    • In-toeing and out-toeing are prevalent pediatric foot conditions.
    • Torsional abnormalities of the tibia are a frequent cause of these gait deviations.

    Purpose of the Study:

    • To measure malleolar position and determine tibial torsion in children.
    • To establish normal values for tibial torsion across different pediatric age groups.
    • To discuss the clinical relevance of tibial torsion in relation to gait.

    Main Methods:

    • Utilized a Tractograph device to measure malleolar position.
    • Assessed 281 children aged 1.5 to 6 years.
    • Determined tibial torsion values and age-specific norms.

    Main Results:

    • Established normative data for tibial torsion in the studied pediatric population.
    • Identified variations in tibial torsion across different age groups.

    Conclusions:

    • Tibial torsion is a significant factor in pediatric in-toeing and out-toeing.
    • Understanding normal tibial torsion values aids in diagnosing and managing gait abnormalities.
    • The Tractograph is a valuable tool for assessing tibial torsion in children.

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