Tibial Torsion - first e-mail incomplete and sent in error

Barbara Boutin

Description

Title:

Tibial Torsion - first e-mail incomplete and sent in error

Creator:

Barbara Boutin

Date:

3/1/2007

Text:

Good Afternoon,

I have a patient, 18 months old, with L4/L5 spina bifida.
He presents with the most extreme internal tibial torsion I have seen.
Bilaterally his feet are perpendicular to the line of progression, but correctable to a neutral position.
At this time he is unable to ambulate, but is a proficient quadriped crawler.
He wears AFO's in his standing frame , but not when he is crawling.
The ideas I have had for treatment are: kinesiotaping, theratogs and possible wheaton style KAFO's to position foot towards external rotation.
Anyone out there have any further ideas with regards to treatment, AND does anyone have experience with reducing tibial torsion at this age.
Mom is a therapist and would like to try everything and anything before considering an osteotomy at this young age.
Thank you in advance.

Barbara Boutin CO, CO(c)


Orthotic Specialists, Inc.
51 E. Monterey Way
Phoenix, Arizona 85012
602-263-1010
Fax 602-263-7473


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Citation

Barbara Boutin, “Tibial Torsion - first e-mail incomplete and sent in error,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 1, 2024, https://library.drfop.org/items/show/228040.