Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Figure A
3%
98/3049
Figure B
8%
232/3049
Figure C
75%
2276/3049
Figure D
234/3049
Figure E
6%
190/3049
Select Answer to see Preferred Response
This patient presents for evaluation of intoeing, a common reason for evaluation in children. The review article by Lincoln and Suen states "active treatment of childhood rotational disorders is unnecessary in most cases. Prudent care consists of reassurance and education about the natural history of the condition". The correct answer is Figure C which demonstrates the measurement of the Q angle. The Q angle can be affected by femoral anteversion and tibial torsion, but typically is not a part of the rotational profile. The 5 components of Staheli's rotational profile include internal and external hip rotation (shown in Illustration A), thigh-foot axis (Figure A), transmalleolar axis (Figure B), heel-bisector angle (Figure D), and foot progression angle (Figure E). Normal values for clinical measurements are: foot progression angle -5 to 20 degrees, IR and ER up to 70 degrees, thigh-foot axis between -10 to 20 degrees, transmalleolar axis -4 at birth to 23 degrees at maturity, and the heel-bisector line normally passes through the second web space. The rotational profile will allow the source of the intoeing to be determined.
3.0
(38)
Please Login to add comment