2639214
Description
Mind Map by sophie_sophie899, updated more than 1 year ago
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Created by sophie_sophie899
almost 9 years ago
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Intoeing
Gait
- Hip - Anteversion
- Signs
- When standing, patella
points inwards when
feet face forwards
- Compensatory
external rotation
- When standing, patella
points inwards when
feet face forwards
- Testing
- Hip
rotation
- Internal
- Normal: 20-60*
- Anteversion:
>70*
- Normal: 20-60*
- External
- Normal: 30--60*
- Anteversion:
<20*
- Normal: 30--60*
- Internal
- Hip
rotation
- Treatment
- SOFT TISSUE: Stretching
& excercises/activities.
- AIM: increase
external rotation
of hip
- Avoid 'W'
position? (not
proven)
- DB Splints?
- Spontaneous
correction
- AIM: increase
external rotation
of hip
- SOFT TISSUE: Stretching
& excercises/activities.
- Signs
- Femoral torsion
- Testing
- X-ray to see
this??
- X-ray to see
this??
- Treatment
- Referral to surgical & MDT
- May
spontaneously
resolve
- If not resolved by
12 - derotational
osteotomy
- If not resolved by
12 - derotational
osteotomy
- Referral to surgical & MDT
- The angle formed by
the axis through the
head and neck of the
femur and the
transcondylar line of
the distal femur
- Normal values
- Birth: 30*
Internal
- Adult: 10*
internal
- If the angle of torsion is
greater than normal (or
greater than 10* internal)
this would indicate a less
than norm al
developmental torsional
change, clinically this may
be a cause of intoeing
- Birth: 30*
Internal
- Testing
- Foot/metatarsals
- Pathology
- Medial subluxation of
tarsometatarsal joints
- With adduction &
inversion of all 5
metatarsals
- Rearfoot in
neutral/varus
- Medial subluxation of
tarsometatarsal joints
- Classification: Bleck
- Treatment
- 90% resolve
spontaneouslyy
- If rigid refer for surgical correction
- Flexible = serial casting
- 3-5 years old -abductor hallucis release
- 8+ multiple metatarsal osteotomies
- Medial column lengthening &
lateral shortening
- 90% resolve
spontaneouslyy
- Pathology
- Tibial Torsion
- A transverse
plane rotation of
the distal aspect of
the tibia relative to
the proximal
- Testing
- Clinically - measure malleolur position: bisection of the
lateral malleoli distally to the bisection of the tibia
proximal. Clinically measure the angle formed by the
bisection of the medial and lateral malleoli with respect
to the frontal plane
- Clinically - measure malleolur position: bisection of the
lateral malleoli distally to the bisection of the tibia
proximal. Clinically measure the angle formed by the
bisection of the medial and lateral malleoli with respect
to the frontal plane
- Treatment
- Monitor & refer on to
surgical team
- May spontaneously
resolve
- Monitor & refer on to
surgical team
- Normal values:
- Birth: 0*
- Adult:
18-23*
external
- Birth: 0*
- Examination
- Thigh - foot angle
- Normal: 20* external rotation
bisection line should be in line
with buttoch <10* tibial torsion
- Normal: 20* external rotation
bisection line should be in line
with buttoch <10* tibial torsion
- Thigh - foot angle
- A transverse
plane rotation of
the distal aspect of
the tibia relative to
the proximal
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