- Less common than In-Toeing
- Common disorder in newborn
- Typically related to hip contracture from intrauterine positioning
- Feet externally rotated (Out-toeing) nearly 90 degrees (charlie chaplin walk)
- Hip internal rotation decreased
- Hip external rotation increased
- Indicated in persistent findings after age 3 years
- Obtain xray Pelvis, XRay Hip and xray lower extremity
- Referral to pediatric orthopedics if persistent findings after age 3 years old
- Typical age of surgical corrective osteotomy is 10 years old
- Typical improvement in the first year of walking
- Persistent findings after 3 years warrants investigation
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