Fundamentals of Pediatric Orthopedics by Staheli Lynn T
Author:Staheli, Lynn T.
Language: eng
Format: epub
Publisher: Lippincott Williams & Wilkins
Published: 2015-06-14T16:00:00+00:00
Internal tibial torsion
ITT is the most common cause of in-toeing. It is often bilateral [C]. Unilateral ITT is most common on the left side [D]. Observational management is best. Fillauer or Denis Browne night splints are commonly prescribed, but have no long-term value; resolution occurs with or without treatment. Avoid daytime bracing and shoe modifications because they can slow the child's running and may harm the child's self-image.
C Bilateral internal tibial torsion The thigh-foot angles are negative (red lines) for both legs.
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