Intoeing

In this condition the front half of the foot is deviated inwards contrary to Talipes Equinovarus which is deviation at the ankle. In this condition the ankle is spared.

Intoeing between the ages of one and two ears is usually a result of an abnormal in alignment of upper (thigh) and lower leg. While Intoeing developing around 18 months may be the result of abnormality in pelvis and hip.

Intoeing

Causes of intoeing:

1)      Neurological abnormality (Cerebral Palsy, Multiple Sclerosis, Polio etc)

2)     Metatarsus adductus (A foot deformity in which the bones in the front half of the foot bend or turn in toward the body)

3)      Hallux Varus (medial deviation of the great toe)

4)      Club foot

5)      Pes cavis (high instep arch)

All of these exhibit intoeing between the ages of 1 to 2 years. The abnormality is in alignment of upper and lower leg.

Management:

Casting:

·         Applied at 6 months beneficial up to 2 years

·         Success rate drops dramatically after age of two years

Surgery:

·         Ligaments released

·         Metatarsal Osteotomy

Physiotherapy