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Tibial torsion (medial)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Extremely common and provided it is symmetrical and the child is developmentally normal, it will usually correct by age 4.

  • this condition generally presents with intoeing in toddlers aged between one and three years
  • with child sitting, lateral malleolus is in front of medial. Also normally anterior superior iliac spine, patella and hallux in line
  • more commonly affects the left tibia than the right.
  • most cases resolve spontaneously
  • in a tiny proportion of cases a derotational osteotomy may be indicated

Reference:

  1. GP (April 15th 2005), 67.

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