Orthopedics Book

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Femoral Retroversion

Aka: Femoral Retroversion
  1. See Also
    1. Out-toeing
    2. Pediatric Leg Disorder
    3. Pediatric Limp
    4. Gait Evaluation in Children
    5. External Tibial Torsion
    6. Femoral Retroversion
    7. Pes Planus
  2. Epidemiology
    1. Less common than In-Toeing
  3. Epidemiology
    1. Common disorder in newborn
  4. Pathophysiology
    1. Typically related to hip contracture from intrauterine positioning
  5. Signs
    1. Feet externally rotated (Out-toeing) nearly 90 degrees (charlie chaplin walk)
    2. Hip internal rotation decreased
    3. Hip external rotation increased
  6. Imaging
    1. Indicated in persistent findings after age 3 years
    2. Obtain xray Pelvis, XRay Hip and xray lower extremity
  7. Management
    1. Referral to pediatric orthopedics if persistent findings after age 3 years old
    2. Typical age of surgical corrective osteotomy is 10 years old
  8. Course
    1. Typical improvement in the first year of walking
    2. Persistent findings after 3 years warrants investigation
  9. Associated Conditions
    1. Slipped Capital Femoral Epiphysis (if persists >age 8 years old)
    2. Leg Stress Fracture
  10. References
    1. Rerucha (2017) Am Fam Physician 96(4): 226-33 [PubMed]

Femoral retroversion (C1608388)

Concepts Congenital Abnormality (T019)
Dutch femorale retroversie
French Rétroversion fémorale
German Retroversion des Femur
Italian Retroversione femorale
Portuguese Retroversão femoral
Spanish Retroversión femoral
Japanese 大腿骨後捻, ﾀﾞｲﾀｲｺﾂｺｳﾈﾝ
English femoral retroversion (___ degrees), femoral retroversion (physical finding), femoral retroversion, Femoral retroversion
Czech Femorální retroverze
Hungarian Femoralis retroversio
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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