Out-toeing
Symmetrical Asymptomatic outtoeing can be a normal variant caused by either external tibial torsion, proximal femoral retroversion or a combination of the two. Outtoeing may be symptomatic or asymptomatic. There are a number of differential diagnoses that may present with an outtoeing gait (eg Perthes, Slipped upper femoral epiphysis).
Author:Dr S Burns, Dr R Hopkins
Contributors:Sarah Harvey, Paediatric Orthopaedic Physiotherapy Team Lead RCHT. Russel Hawkins, Consultant Orthopaedic Surgeon RCHT.
Date:Feb 2022
Next Review Date:Feb 2023
Version 2.2