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  #1  
Old 07-06-2011
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Rheumatology/Orthopedics A 2 year old boy with feet turned inwards

A 2 year old boy is brought to a well child visit by his mother who is concerned because the child's feet are turned inwards. She noticed this when the child first began to walk at 13 months. It does not seem to bother the child. On examining his gait, his knees point forward and his feet turn inward. Which of the following is the most likely cause of this condition?

A. Adducted great toe
B. Femoral anteversion
C. Legg-perthes disease
D. Medial tibial torsion
E. Metatarsus adductus
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  #2  
Old 07-06-2011
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e metatarsus adductus
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Old 07-06-2011
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I think e......
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Old 07-06-2011
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E. Metatarsus adductus i think
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Old 07-06-2011
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I would go with D
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Old 07-06-2011
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my answer is E. this looks like clubfoot and all other options seem inappropriate.
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Old 07-06-2011
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Quote:
Originally Posted by aksyonez View Post
A 2 year old boy is brought to a well child visit by his mother who is concerned because the child's feet are turned inwards. She noticed this when the child first began to walk at 13 months. It does not seem to bother the child. On examining his gait, his knees point forward and his feet turn inward. Which of the following is the most likely cause of this condition?

A. Adducted great toe
B. Femoral anteversion
C. Legg-perthes disease
D. Medial tibial torsion
E. Metatarsus adductus
aksyonez: Please quote the source of your questions. Are they from nbme or uworld or usmleconsult by any chance?
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Old 07-06-2011
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My questions are NOT from nbme, UW, usmle consult or kaplan for that matter..
I respect everyone on this forum and would never post such questions without warning..
Now the answer is D. Medial Tibial Torsion . All the answers can result in intoeing, in most cases, it is a benign condition that requires close observation. In this child because the knees are straight , the rotational deformity is below this joint.
In metatarsus adductus , the forefoot is adducted as compared to the hindfoot.

Here is a pic of medial tibial torsion
Attached Thumbnails
A 2 year old boy with feet turned inwards-images.jpeg  
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The above post was thanked by:
cool_atomic (07-07-2011), erickven (01-21-2017), USMLE-Syndrome (07-06-2011)



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