is a natural
ly occuring condition
in all children
goes away within the first few years of birth. All children are intoed when they are born with the toe
s naturally turning outward as their bones grow. The head
of the ball joint at the top of the femur
is turned inward and slightly forward. the amount of antiversion at birth
is 40 degrees which decreases (usually) to 15 degrees at maturity.
In some children, the femoral neck antiversion doesn't decrease at all, but stays excessive in relation to age.
The most obvious symptom
is intoeing (pigeon toes), and this is usually the reason the condition is is brought to the attention of a doctor
. The condition is most often initially diagnose
d in children aged 3-8. the child will stand and walk with the knee
s and toe
s pointed inward. A less obvious symptom is a peculiar way of sit
ting called the "W-position" (or sometimes "television position") where the child sits with the inner knees flat on the floor and their feet beside their hips
. this position should be discourage
d as it keeps the legs rotate
d inward and will worse
n the condition. Children should be encouraged to sit indian style
. In some cases, this manner of sitting can be either a cause
or a symptom.
The most common treatment is corrective shoes
that will turn the legs outward, however shoes that concentrate only on the feet
or lower legs will not be as effective as the problem lies in the hips.
( ) The "W", or "television"
_|_ position, as best diagrammed
/ | \ with ascii
_ | _