JOPA Image Quiz: In-Toeing in an 8-Year-Old Boy

clouIQ1_NEW_6-14-16.jpgThis month’s Image Quiz from the JBJS Journal of Orthopaedics for Physician Assistants (JOPA) highlights the case of an 8-year-old boy who presents with a 3-month history of in-toeing. Anteroposterior pelvic and bilateral frog-leg radiographs are included, along with measurements of the foot progression angle, medial rotation of the hip, and the thigh-foot axis.

The Image Quiz reviews the natural history of lower-extremity rotational deformities in children, and describes in detail how to make the physical-examination measurements that helped answer the clinical question of whether this patient’s in-toeing was benign or a sign of a more serious deformity.

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3 responses to “JOPA Image Quiz: In-Toeing in an 8-Year-Old Boy”

  1. Nishant says :

    In toeing could be a sign of a proggressive deformity.

  2. mokakoae says :

    8 years old can be early sign of perthes disease pt may need MRI to show early head necrosis

  3. Kalyan Mukherjee says :

    Excessive anti version of the femoral neck is the starting point of this problem

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