First, the socket, also called the acetabulum, may develop abnormally as a child grows. Legg-Calve-Perthes disease, a disease in which the ball part of the hip joint doesn't get enough blood, which causes the bone to die. A decreased angle of femoral anteversion appears to be specifically associated with the development of slipped capital femoral epiphysis. Femoral Retroversion. This is also called in-toeing. Femoral anteversion causes a child's knees and feet to turn inward and have a "pigeon-toed" appearance. Limb Lengthening and Complex Reconstruction Service, out-toeing or "duck walk" – walking with the foot pointed outward instead of straight ahead. Torsional deformity can also occur after a fracture where the bone heals with deformity or malunion. It also appears to be related to the position of the baby as it grows in the womb. It's usually due to one of three main causes. Cam-type femoroacetabular impingement is associated with decreased femoral anteversion (or even femoral retroversion, as in this case). Tightness of the muscles of the hip that cause the hip to rotate excessively to the outside. Right: Most patients with excessive hip retroversion compensate by walking out-toed. Symptoms of femoral retroversion may include: If the doctor suspects a femoral retroversion, he will conduct a physical examination of the legs and hips in addition to a thorough medical, developmental and family history. An excessive femoral retroversion can place stress on hip and knee joints, often leading to joint pain and abnormal wear. This surgery includes cutting and realigning the femur. Femoral retroversion is often a congenital condition, meaning it is present from birth and develops in the womb. In these situations, a surgical procedure known as a femoral osteotomy may be used. Femoral anteversion occurs in up to 10 percent of children. The exact cause of femoral anteversion is not clear but it is believed to occur due to two major factors; environmental and hereditary. It is commonly called a "tipped uterus." Since it often runs in families, it is believed that … This is because opposite, incorrect rotations of the femur and tibia often leave the feet parallel during walking, which often makes the misalignment of the hips and knees go unnoticed. In anatomy, the word “version” refers to the angle or rotation of all or part of an organ, bone or other structure in the body, relative to other structures in the body. Diagnosing femoral retroversion can sometimes be difficult, as the common positioning used for X-ray imaging may not reveal a rotation in the femoral neck. What causes femoral Retroversion? The pincer impingement may be caused by acetabular retroversion, general over-coverage, or protrusio. Typically, a child’s walking style looks like that of his or her parents. fbq('track', 'PageView'); The hip joint is where the femoral head (the top of the femur) meets the pelvis. New York, NY 10021 In cases where the child does not grow out of femoral retroversion, the condition may be mild enough not to cause any significant health challenges. In this patient, both the cam-type deformity and the femoral retroversion contribute to a decreased internal rotation of the hip joint. However, in excessive cases, surgery may be needed to correct the rotation. It is thought to be related to genetic factors and the … Causes of Out-Toeing - Femoral Retroversion This gait condition is not as common as in-toeing , but it does affect a large number of children. It also appears to be related to the position of the baby as it grows in the womb. The torsional deformity is corrected by re-establishing the normal rotation between the hip and the knee. 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