In-toeing Gait (Children)

It is the pointing in of the feet when walking in an otherwise normal child.

Causes of In-toeing Gait include:

• Under the age of 2, due to inward curvature of the feet (Metatarsus Adductus)
• In the toddler age, due to inward twisting of the leg (Tibia Intorsion)
• In the school going age, due to malrotation of the thigh bone (Femoral Anteversion)

For more severe cases, the child may trip easily especially when running.

• Often corrects spontanesously with time.
• Sitting posture may have to be modified.
• In the older adolescent child with severe in-toeing, a cut in the thigh bone for de-rotation may be necessary.