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Orthopaedic Surgery

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Internal Tibial Torsion

The tibia, or shinbone, plays a crucial role in walking. In most children, the tibia aligns correctly. But in some children, this bone rotates inward or outward and causes trouble with walking. Too much rotation of the shinbone is called internal tibial torsion.

Internal Tibial Torsion: What You Need to Know

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  • Internal tibial torsion can give your child a “pigeon-toed” stance. This is also called in-toeing. In-toeing is not abnormal on its own.
  • Children with internal tibial torsion may be more prone to tripping as they learn to walk and run.
  • The signs of internal tibial torsion look the same as signs for other conditions. A trained pediatric orthopaedic surgeon or advanced practice provider can tell through examination and testing if an underlying condition may be causing your child’s in-toeing (or femoral anteversion).
  • In most children, internal tibial torsion goes away on its own. Rarely, surgery may be required to fix the problem.

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Why Choose Johns Hopkins for treatment of internal tibial torsion?

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Our Physicians

Rely on the expertise of our physicians to help you manage your child's internal tibial torsion.

Meet our physicians:

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Our Staff

Our physician assistants (PAs) and nurse practitioners (NPs) specialize in pediatric orthopaedics and play a key role in providing care to our patients and families.

Meet our staff members that care for children diagnosed with internal tibial torsion:

Melissa Fought, C.R.N.P.
Karen Kracker, P.A.-C.
Colleen Lenz, C.R.N.P.
Kristen Venuti, C.R.N.P.
Mary Teresa "Tresie" Yost, F.N.P.-C.


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