Orthopedics Book

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Internal Tibial Torsion

Aka: Internal Tibial Torsion, Medial Tibial Torsion
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  1. Definition
    1. Tibia internally rotated with toe pointing inward
  2. Physiology: Mean tibial torsion
    1. Adult 15-20 degrees
    2. Newborn 5 degrees
  3. Signs
    1. Observation of child walking
      1. Knee caps point forward
        1. Femur external
        2. Tibial internal rotation cancels femur rotation
      2. Foot points inward (due to tibial rotation)
    2. Assess Thigh-Foot Angle
      1. Assess for Tibial Rotation in Children
  4. Course
    1. Spontaneous resolution in 95% of children by age 8
  5. Management
    1. Treat any associated Metatarsus Varus (In-Toeing)

Internal tibial torsion (C0575994)

Concepts Finding (T033)
SnomedCT 299228008
Dutch inwendige tibiatorsie
French Torsion du tibia interne
German interne tibiale Torsion
Italian Torsione tibiale interna
Portuguese Torção tibial interna
Spanish Torsión tibial interna, torsión interna de tibia, torsión tibial interna (hallazgo), torsión tibial interna
Japanese 脛骨内捻転, ｹｲｺﾂﾅｲﾈﾝﾃﾝ
Czech Interní tibiální torze
Hungarian Tibialis belső torsio
English Internal tibial torsion, Internal tibial torsion (finding)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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