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Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
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Approach to pediatric rotational limb deformities.
Huthayfa Kahf1, Yazeed Kesbeh1, Eric van Baarsel2
1School of Medicine, University of California, Riverside, CA.
Orthopedic Reviews
|October 4, 2019
Summary
In-toeing in children, often linked to femoral anteversion, tibial torsion, or metatarsus adductus, is a common developmental variation. This review helps healthcare providers confidently manage these pediatric gait concerns.
Area of Science:
- Pediatric Orthopedics
- Developmental Pediatrics
- Pediatric Gait Analysis
Background:
- Pediatric lower extremity complaints, particularly gait abnormalities like in-toeing, are frequent reasons for seeking medical attention.
- In-toeing is a common developmental variant in children, often observed between six months and five years as coordination skills develop.
Purpose of the Study:
- To review the three most common causes of in-toeing in pediatric patients.
- To provide healthcare providers with the knowledge to confidently address common pediatric gait abnormalities.
Main Methods:
- Review of the literature on pediatric in-toeing.
- Focus on femoral anteversion (FA), tibial torsion (TT), and metatarsus adductus (MA).
Main Results:
- Femoral anteversion, tibial torsion, and metatarsus adductus are the primary contributors to pediatric in-toeing.
- Understanding these variations is key for accurate diagnosis and management.
Conclusions:
- In-toeing is a prevalent developmental variation in children.
- This review equips providers to manage common pediatric lower extremity gait concerns effectively.
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