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Femoral Anteversion

January 29, 2024 Staff

Topics - Developmental

Nature, Causes and Treatment of Femoral Anteversion

Femoral anteversion is a common orthopedic condition in children, characterized by an inward twisting of the femur (thighbone). This condition can affect the way a child walks and stands. Here are key aspects of femoral anteversion:


  • In-toeing Gait: Children with femoral anteversion often walk with their feet turned inward, a walking style sometimes referred to as "pigeon-toed."

  • Sitting Position: These children may prefer sitting in a "W" position, with their knees bent and feet flared out behind them.

  • Gait Normalization with Age: The condition often becomes less noticeable as the child grows older.


  • Developmental: Femoral anteversion is often a developmental condition. The femur naturally has an increased anteversion at birth, which usually decreases as the child grows.

  • Genetic Factors: There may be a hereditary component, as the condition can run in families.


  • Physical Examination: Diagnosis typically involves a physical exam, where the doctor assesses the child's walking pattern and hip rotation.

  • Imaging Tests: In some cases, X-rays or other imaging tests may be used to confirm the diagnosis and rule out other conditions.


  • Observation and Monitoring: Since many children outgrow the condition, the primary approach is often to simply monitor their development.

  • Physical Therapy: In some cases, physical therapy may be recommended to strengthen the leg muscles and improve walking patterns.

  • Surgical Intervention: Surgery is rare and usually reserved for severe cases or older children whose condition has not improved with growth.


The prognosis for children with femoral anteversion is generally very good. Most children outgrow the condition by adolescence with no lasting effects on their walking or overall leg function.

As with any medical condition, consultation with a healthcare professional for diagnosis and treatment is important. They can provide personalized advice and care based on the child's specific condition.

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