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Intoeing or ‘Pigeon Toed’ Walking in Children
January 2, 2011
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What is intoeing gait?
Intoeing gait or ‘pigeon toed’ is defined as walking with the feet pointing inwards.
What causes intoeing?
In general, intoeing gait in a child can be caused by 3 components:
- Feet – inward curve of the feet bone (metatarsus adductus)
- Knee – inward rotation of lower leg bone (medial tibial torsion)
- Hip – increase internal rotation if thigh bone (femoral anterversion)
These components can occur alone or in combination.
For single side intoeing, conditions, such as the following, have to be ruled out:
- Spastic hemiplegia
- Hip dysplasia in infant or child
- Slip femoral epiphysis or Legg-Calve-Perthes disease in older children