In Toeing - Femoral anteversion - Metatarus Adductus

A metatarsus adductus deformity is one that is isolated to the foot and has no other factors to alter the position of the foot.

When parents present their kids with in toeing or walking funny with their feet in it is important to evaluate the  entire lower extremity to rule out other causes of InToeing. Most kids are in fact very NORMAL.

 The position of the foot is based on Version of bones, capsular stretch/motion, muscle balance.

Torsion: Position of the foot relative to the body line. This can be external, internal or neutral

Version: Change in the bone structure, relationship of the proximal end to the distal end (Femoral head or neck in relation to the shaft)

Degree of rotation at the hip plays a large role in a toed-in gait vs a toed-out gait.

Increased Internal rotation at the hip (more InToed Gait) is called Femoral Anteversion.

There are no studies that show any nonsurgical intervention will speed up or change the gait pattern.

No treatment is needed in most kids.

Orthotics are INEFFECTIVE for Femoral Anteversion

If deformity is severe surgery is an option. Surgery does come with its own risks.

www.OCPodiatry.com

For more questions on in toeing or metadductus contact Dr. Kolodenker in Orange County.