I. Definition

  1. Tibia internally rotated with toe pointing inward

II. Physiology: Mean tibial torsion

  1. Adult 15-20 degrees
  2. Newborn 5 degrees

III. 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

IV. Course

  1. Spontaneous resolution in 95% of children by age 8

V. Management

  1. Treat any associated Metatarsus Varus (In-Toeing)

Images: Related links to external sites (from Google)

Ontology: 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)