Orthopedics
Internally rotated gait
Help, my child walks with his toes pointing inwards and trips over his own feet -
The internally rotated gait in children (Intoeing): A harmless normative variant
Internally rotated gait, also known as "intoeing," is a common phenomenon in children. This gait pattern involves pointing the toes inward instead of forward. Many parents are concerned when they notice this gait pattern in their child, fearing that it is a sign of a deformity or serious orthopedic defect. In fact, in most cases, intoeing is a harmless, normal variation that requires no treatment and corrects itself over time.
How does an internally rotated gait develop?
Intoeing results from a slight twisting in the lower extremities, which can occur in different sections:
- Torsion of the thigh bone (femur):
- During a child's development, the thigh bones (femur) may be twisted inward, a condition known as coxa antetorta. This torsion is completely normal in infants and young children and decreases with age.
Internal rotation of the tibia is another common cause of intoeing. This twisted alignment usually corrects itself during growth.
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Metatarsus adductus:
This is a slight curvature of the foot, with the front feet pointing inward. This shape often corrects itself over the course of development.
During a child's development, the thigh bones (femur) may be twisted inward, a condition known as coxa antetorta. This torsion is completely normal in infants and young children and decreases with age.
When does intoeing occur?
Internally rotated gait often occurs in early childhood, especially during the first few years after walking. It typically peaks between the ages of 2 and 4 and gradually improves thereafter.
Is intoeing dangerous?
In most cases, intoeing is a temporary occurrence that causes no pain and does not affect the child's development. It is a natural variation in child development and is usually a normal adaptation of the musculoskeletal system during growth.
Intoeing ist keine Krankheit und erfordert in der Regel keine Behandlung.
When should a doctor be consulted?
Although intoeing is usually harmless, there are rare cases where medical examination is advisable, especially if:
- The gait is associated with pain.
- There is a strong asymmetry between the legs.
- Intoeing continues to be clearly pronounced after the age of 8.
- Other orthopedic abnormalities such as limping or restricted movement may occur.
How is intoeing treated?
In most cases, no treatment is necessary. Gait corrects itself through natural growth. Orthopedic shoes, insoles, or splints, which were commonly used in the past, are now generally unnecessary. In rare, more severe cases or in cases of underlying diseases, targeted physiotherapy or surgery may be necessary.
Tips for parents
- Have patience: Intoeing is a natural part of development that takes time to correct.
- No worries about sports activities: Children with intoeing can run, jump and play sports without any problems.
- Pay attention to natural movement patterns: Walking barefoot and varied movements promote healthy development of the feet and legs.
Conclusion
In most cases, the internally rotated gait in children is a harmless, normal variation that requires no treatment. Parents can rest assured that intoeing is rarely associated with serious problems and often resolves on its own. Should you still have any concerns, we are happy to provide you with expert examination and advice in our practice.