Pediatric Intoeing

Intoeing, commonly referred to as being pigeon toed, happens when children walk with their feet turned in. It’s a common condition that can be present at birth or develop in young children.

Intoeing usually doesn’t cause pain or prevent a child from learning to walk or run and often corrects itself. Most children’s feet gradually straighten out as they grow older and their walking and running improves. If the condition continues and is left untreated, it can lead to complications including:

1. An unbalanced gait (way of walking) that can cause strain
2. Reduced athletic ability because of problems running and jumping
3. Foot deformities including bunions, hammertoes and flat feet

There are different causes for intoeing depending on where the legs or feet are misaligned:

1. Curved foot (metatarsus adducts), which is usually present at birth
2. Twisted shin (tibia torsion), the most common cause of intoeing, which occurs around age 1 to 3
3. Twisted thighbone (femoral anteversion), which occurs around age 3 to 8

The exact causes for these foot and leg problems are not certain, but medical experts suspect that it may be related to:

1. Family history of intoeing
2. Cramped position in the uterus

Most children outgrow intoeing between ages 8 and 10. But your pediatrician may recommend testing if these symptoms continue or worsen:

1. Feet shaped like crescent moons, mainly in infants
2. Shins or thighbones that turn inward
3. Limping, pain or swelling
4. Problems with gait (way of walking) such as tripping or unusual clumsiness

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Regards,

Stella

Editorial Team

Journal of Orthopedic Oncology