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:Dec 2024

Next Review Date:Dec 2026 

 

Version 2.2