What is it?

Femoral anteversion refers to a condition where the femoral neck (the part of the thigh bone that connects to the ball of the hip joint) is twisted or angled forward in relation to the shaft of the femur.

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Signs & symptoms

* In-toeing: The most common symptom of femoral anteversion is the inward rotation of the feet, leading to a "pigeon-toed" appearance.
* Awkward Gait: Children with femoral anteversion may walk with a noticeable waddling gait, where their feet turn inward while walking.
* Difficulty with Activities: Some individuals with femoral anteversion may experience difficulties with certain activities such as running, walking long distances, or participating in sports that require coordinated lower limb movements.

Diagnosis

* Physical Examination: A physical examination is typically performed by a healthcare professional, who will observe the gait and assess the alignment and rotation of the lower limbs.
* Hip Range of Motion: The range of motion of the hips is evaluated to determine the extent of femoral anteversion.
* Imaging Studies: X-rays may be ordered to confirm the diagnosis and assess the degree of rotational abnormality. Other imaging studies, such as computed tomography (CT) scans or magnetic resonance imaging (MRI), may be utilized in more complex cases or to evaluate associated conditions.

Treatment

* Observation: In some cases, femoral anteversion may resolve naturally as the child grows. Observation, along with monitoring of symptoms and gait, may be recommended initially.
* Physical Therapy: Physical therapy can help improve strength, flexibility, and coordination. Specific exercises and stretches may be prescribed to address the rotational abnormality and associated symptoms.
* Orthotic Devices: Custom orthotic devices, such as shoe inserts or braces, may be utilized to provide support, improve alignment, and aid in proper foot positioning.
* Surgical Intervention: Surgical treatment is rarely needed for femoral anteversion. However, in severe cases or if conservative measures have failed, corrective surgery may be considered. Surgical options include rotational osteotomy, which involves realigning the femur, or other procedures to address associated conditions.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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