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Sukhdeep K. Dulai
SPORC 2018
Intoeing: When to worry?
• What is it?
• Why isn’t it always cause for worry?
• What are the benign causes of intoeing?
• What are the pathologic causes of intoeing
and how are they identified?
• What are the red flags in intoeing?
What is it?
Typical Infancy
Presenting Age
Signs/Symptom Medially curved lateral and
s Medial Foot Borders, Heel
bisector lateral to 2nd web
space Picture from: http://orthoinfo.aaos.org,
Courtesy of TSRH for Children
Natural History 85% resolve spontaneously
Picture from:
Treatment Early: Reassurance
http://orthoinfo.aaos.org
*Tip: Sprinters have more ITT than
, Courtesy of TSRH for
non-athletes (Fuchs & Staheli JPO
Children
1996)
Late: Supramalleolar derotation
osteotomy
Diagnosis Femoral Anteversion