Orthopedics Book

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Foot Progression Angle

Aka: Foot Progression Angle, Gait Rotational Angle
  1. See Also
    1. Pediatric Foot Evaluation
    2. Gait Evaluation in Children
    3. Foot Anatomy
    4. Clubfoot
    5. In-Toeing
    6. Out-toeing
    7. Metatarsus Adductus
    8. Congenital Vertical Talus
    9. Calcaneovalgus Deformity
    10. Pediatric Limp
    11. Torsional Profile
    12. Thigh-Foot Angle
    13. Hip Rotation Evaluation in Children
  2. Indication
    1. Pediatric Gait Abnormality
    2. Intoeing evaluation
  3. Technique
    1. Observe child walk
    2. Evaluate foot long axis relative to line of walking
      1. Imagine line from heel to second to third toe
      2. Estimate angle of foot deviating from this line
  4. Interpretation: Normal rotational angles (varies by age)
    1. Age 1: -4 to 19 degrees (mean 7 degrees)
    2. Age 3: -4 to 17 degrees (mean 6 degrees)
    3. Age 5: -4 to 15 degrees (mean 5 degrees)
    4. Age 7: -4 to 15 degrees (mean 5 degrees)
    5. Age 9: -4 to 14 degrees (mean 4 degrees)
  5. Interpretation: Abnormal
    1. Excessively negative Foot Progression Angle (FPA)
      1. See In-Toeing
    2. Excessively positive Foot Progression Angle (FPA)
      1. See Out-toeing
  6. References
    1. Schmale (2003) AAFP Board Review, Seattle

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