Peds

External Tibial Torsion

search

External Tibial Torsion

  • Epidemiology
  1. Presents at age 4 to 7 years old
  • Pathophysiology
  1. Tibia externally rotates with growth
  • Signs
  1. Foot Progression Angle positive (externally rotated foot)
  2. Thigh foot angle >30 degrees
  • Management
  1. Surgery is typically avoided until after age 10 years old
  2. High complication rate with surgery
  • Complications
  1. Patellofemoral Syndrome
  2. Knee instability
  • References
  1. Rerucha (2017) Am Fam Physician 96(4): 226-33 [PubMed]