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Causes of Intoeing Intro

Intoeing - Possible Causes

Antetorsion - photos of femoral neck's angular orientation

Antetorsion is a bony twist in the femoral shaft that results in the foot being turned inward

Antetorsion - Computing the Antetorsion Value

The above diagram demonstrates how the Antetorsion Value is computed

Antetorsion - Photo of Intoeing secondary to Antetorsion

The above photo was taken of a patient intoeing diagnosed with Antetorsion. Note the internal rotation of the knees - a hallmark finding in antetorsion

Internal Tibial Torsion

The above photo was taken of a infant diagnosed as having Inernal Tibial Torsion.

Note that the position of the infant's knees - on the frontal plane.  The internal structural twist that results in an intoeing gait occurs in the shaft of the tibia.

Metatarsus Adductus

Xray and photo of a child diagnosed with metatarsus adductus

Rothbarts Foot Definition with photos

Photo of a foot placed in its anatomical neutral position demonstrating the structural twist in the medial column of the foot resulting in a raised 1st metatarsal and hallux

Primus Metatarsus Supinatus value (PMSv) greater than 10 degrees

One of the most common gait patterns seen in patients having the Primus Metatarsus Supinatus foot structure (aka Rothbarts Foot) is a compensatory intoeing.


Treadmill Analysis of Gait - Patient diagnosed with Rothbarts Foot

Compensatory Anteversion to decrease intoeing

Description of the above treadmill video of a patient diagnosed with Rothbarts Foot

Professor/Dr Brian A Rothbart

Director of Research, International Academy RPT