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GrowthIllustrated guide

Limb torsion: walking, function and growth

An illustrated guide to thighbone and shinbone rotation: whole-limb assessment, function and the limits of self-directed correction.

A doctor observing the overall alignment of a standing child's legs without manipulating them.

Several segments shape walking

The thighbone, shinbone and foot contribute to walking direction. Feet alone do not reveal the rotation of the bones.

A child walking towards the viewer while the mother and doctor observe walking function.

Assess function and growth

The clinician compares rotation, symmetry, pain and activity. Progression depends on the type of torsion.

A physiotherapist explaining leg alignment to the family without rotating or forcing the child's feet.

Avoid self-directed correction

Do not force feet or knees to point straight ahead. An exercise programme does not automatically alter bone torsion.

Illustrations and general information for families. They do not replace an individual medical assessment or instructions from the treating team.

Dr Daniele Priano — Paediatric orthopaedics

Read the complete condition information →

Sources

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