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[Idiopathic femur anteversion]
1Ortopedisk avdeling, Regionsykehuset i Trondheim.
Summary
Intoeing, often caused by increased femoral anteversion, is common in children. Surgical correction is now less common due to natural angle reduction during growth, with surgery reserved for persistent, severe cases in older children.
Area of Science:
- Orthopaedics
- Pediatric orthopaedics
- Biomedical imaging
Context:
- Intoeing is a frequent pediatric orthopaedic referral reason.
- Increased femoral anteversion (AV) is the primary cause of intoeing.
- Traditional radiographic methods for measuring AV-angles are being supplemented by ultrasonography.
Purpose:
- To review the diagnostic methods and treatment indications for increased femoral anteversion in children.
- To discuss the shift towards more conservative management strategies for intoeing.
- To establish criteria for surgical intervention in persistent cases of increased AV.
Summary:
- Femoral anteversion (AV) is the most common cause of intoeing in children.
- Ultrasonography offers an alternative to radiography for measuring AV-angles.
- Surgical derotational osteotomy indications for AV have become more restrictive due to observed spontaneous reduction during growth.
- Operative treatment is now considered only for persistent, marked AV with significant complaints in children aged 10-12 years.
Impact:
- This study refines the clinical approach to managing pediatric intoeing.
- It emphasizes conservative management and judicious surgical intervention for femoral anteversion.
- The findings support updated treatment guidelines for pediatric orthopaedic practices.