![]() For those who do not, a mild case may not cause significant health problems. Many children born with femoral retroversion grow out it. 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. If the individual also has a separate rotational bone deformity such as internal tibial torsion – an inward rotation of the tibia (shinbone) – then femoral retroversion becomes even more difficult to diagnose. The physician may also order an X-ray or CT scan to look for possible deformities.ĭiagnosing femoral retroversion can sometimes be difficult, as the common positioning for X-ray imaging may not reveal a rotation in the femoral neck. The doctor will also observe the patient’s gait (manner of walking) to look for signs of out-toeing or gait compensation. If femoral retroversion is suspected, a doctor will do a physical examination of the legs and hips in addition to a thorough medical, developmental and family history. out-toeing or "duck walk" – walking with the foot pointed outward instead of straight ahead.Symptoms of femoral retroversion may include: However, in some cases, this may be difficult to identify, especially if femoral retroversion is combined with a separate rotation deformity such as tibial torsion. Symptoms of femoral retroversion usually begin with the visual recognition of the rotated femur. What are the symptoms of femoral retroversion? ![]() Femoral retroversion may also occur after a physical trauma such as a femur fracture. Torsional deformity can also occur after a fracture, if a broken bone heals with incorrectly (called malunion).įemoral retroversion often runs in families, which may indicate that some children have a higher risk of being born with this condition. It also appears to be related to the position of the baby as it grows in the womb. Femoral retroversion is often a congenital condition, meaning children are born with it. The exact cause of femoral retroversion is unknown. What are the causes of femoral retroversion? ![]() Top-view illustrations of excessive femoral retroversion In some cases, hip/femoral retroversion may be combined with a separate torsional deformity, such as a rotation in the tibia. The opposite condition, in which the femur has an abnormal forward (inward) rotation, is called femoral anteversion.įemoral retroversion can occur in one or both legs. Because the lower part of the femur is connected to the knee, this also means that the knee is twisted outward relative to the hip. What are the symptoms of femoral retroversion?įemoral retroversion (also known as hip retroversion) is a rotational or torsional deformity in which the femur (thighbone) twists backward (outward) in relation to the knee.What are the causes of femoral retroversion?.This condition can affect patients of all ages and leads to abnormal stress in the low back, hip and knee, as well as an abnormal gait (walking stance). Retroversion refers to an abnormal backward rotation of the hip relative to the knee. 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. In moderate to severe cases of hip impingement, hip pain and other symptoms may cause a person to walk with a limp.The hip joint is where the femoral head (the top of the femur) meets the pelvis. Balancing on the affected leg may be more difficult than balancing on the unaffected leg. Physical impairments in symptomatic femoroacetabular impingement: a systematic review of the evidence. Decreased muscle strength around the hip.ģ Freke MD, Kemp J, Svege I, Risberg MA, Semciw A, Crossley KM.Physical impairments and activity limitations in people with femoroacetabular impingement: a systematic review. Changes to the hip’s range of motion may change a person’s natural gait while climbing stairs.Ģ Diamond LE, Dobson FL, Bennell KL, Wrigley TV, Hodges PW, Hinman RS. Stiffness around the hip, making movements slower or more difficult.Loss of range of motion, particularly when rotating the hip inward or moving the leg toward the centerline of the body.In addition to hip pain, a person with hip impingement may experience:
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