In-toe gait

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In-toe gait-This condition is also called Metatarsus Adductus.

Metatarsus adductus is a common foot deformity noted at birth that causes the forefoot, to turn inward. Metatarsus adductus may also be referred to as "flexible" (the foot can be straightened to a degree by hand) or "non-flexible" (the foot cannot be straightened by hand).

The cause of metatarsus adductus is not known. It occurs in approximately one out of 1,000 to 2,000 live births and affects girls and boys equally.
Some theories are hereditary factors, position of the baby in the uterus (especially with breech presentations), babies who sleep on their stomach.

Babies born with metatarsus adductus may also be at increased risk of having an associated hip condition known as developmental dysplasia of the hip (DDH). DDH is a condition of the hip joint in which the top of the thigh (femur) slips in and out of its socket, because the socket is too shallow to keep the joint intact.

The diagnosis of metatarsus adductus is made with a physical examination. During the examination, the physician will obtain a complete birth history of the child and ask if other family members were known to have metatarsus adductus.

Diagnostic procedures are not usually necessary but xrays help to evaluate metatarsus adductus. 


Treatment options vary for infants, and may include: observation, stretching or passive manipulation exercises, serial casting, and surgery.

Studies have shown that metatarsus adductus may resolve spontaneously (without treatment) in the majority of affected children.

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