ContentsSynopsisCodesReferences
Tibial torsion
Other Resources UpToDate PubMed

Tibial torsion

Other Resources UpToDate PubMed

Synopsis

Lower extremity rotational abnormalities of childhood characterized by in-toeing (internal tibial torsion) or less commonly by out-toeing (external tibial torsion). A variety of lower extremity development abnormalities fall within a wide range of normalcy, and include angular and rotational deformities. Following a careful examination and patient history, and absent systemic or musculoskeletal disease, parents can be reassured. Most children with tibial torsion will spontaneously resolve over time (usually by age 8), requiring no intervention. In some cases (severe deformity, functional limitation, and older than age 8), surgical management may be recommended.

Internal tibial torsion and in-toeing with an asymmetrical angle greater on the left side can be associated with fetal positioning, the neonate sleeping in a prone position, or the child sitting on the feet. External tibial torsion may be observed from ages 4-7, mostly unilateral (right sided), and worsening with age. Surgery (osteotomy) for external tibial torsion is more likely to be recommended, but not usually until age 10 or older.

Codes

ICD10CM:
M21.80 – Other specified acquired deformities of unspecified limb
Q74.2 – Other congenital malformations of lower limb(s), including pelvic girdle

SNOMEDCT:
249785006 – Tibial torsion

References

Subscription Required

Last Updated:07/21/2016
Copyright © 2021 VisualDx®. All rights reserved.
Tibial torsion
Print  
Copyright © 2021 VisualDx®. All rights reserved.