7/17/2023 0 Comments Hip pain when rotating leg outwardIn this condition, the spine has a sideways “S”- or “C”-shaped curve and may be slightly rotated. Scoliosis is the most common cause of uneven hips. Uneven hips might be the result of a developmental issue that happened before you were born or a problem with your posture. The torsional deformity is corrected by re-establishing the normal rotation between the hip and the knee.There are a few possible reasons why your hips are uneven. The femur bone is cut through a portal and an intramedullary rod is inserted into the marrow cavity of the bone. In some cases, a minimally invasive version of a femoral osteotomy may be performed. This surgery includes cutting and realigning the femur. In these situations, a surgical procedure known as a femoral osteotomy may be used. In severe cases, however, surgery may be needed to correct the rotation.Īn excessive femoral retroversion can place stress on hip and knee joints, often leading to joint pain and abnormal wear. 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.
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