The Intoeing Dilemma – What’s Normal? What Needs to be Referred?
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Orthopaedics UpdatePublished on
Orthopaedics UpdateParents are often concerned with the appearance of lower extremities in children. Often, recurrent falls, underperforming in sports and clumsiness are thought to be a result of abnormal lower limb alignment and development. Intoeing — also referred to as being “pigeon-toed” — is one of the most common complaints from caregivers, coaches and teachers.
There are three primary causes of intoeing:
Most causes of intoeing tend to improve over time. By 8 to 10 years of age the adult rotational alignment is achieved. However, that does not mean that the child won’t continue to have some intoeing. The child generally grows up to have legs that resemble those of the parent from whom they inherited the trait.
While occasional tripping may occur, most children learn to compensate for any rotation and have no symptoms. There is no need to restrict activities. Many studies have suggested that intoeing may even improve sports function, as intoers tend to be more effective runners and jumpers.
Bars, shoes, orthotics, and twister cables were used in the past to treat intoeing, but there is no scientific evidence that these devices have any effect on the natural tendency toward partial or complete correction by the 8 to 10 years of age.
Contributed by: Alexandre Arkader, MD
Categories: Limb Deformities; Intoeing