Orthopedics Book

Infectious Disease

Thoracic Spine Disorders

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Thigh-Foot AngleAka: Thigh to Foot Angle, Tibial Rotation in Children

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  1. Technique
    1. Patient lies prone (infants in crawl position)
    2. Knees flexed 90 degrees off table
    3. Assess angle between femur axis and foot axis
      1. Femur axis: Line along length of femur
      2. Foot axis: Line from heel through third web space
  2. Interpretation: Normal
    1. Age 1: -27 to +20 degrees (mean 0 degrees)
    2. Age 3: -15 to +25 degrees (mean 7 degrees)
    3. Age 5: -5 to +30 degrees (mean 12 degrees)
    4. Age 7: 0 to +30 degrees (mean 18 degrees)
    5. Age 9: 3 to +33 degrees (mean 20 degrees)
  3. References
    1. Schmale (2003) AAFP Board Review, Seattle

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