What can femoral Retroversion cause?
What can femoral Retroversion cause?
Retroversion refers to an abnormal backward rotation of the hip relative to the knee. This condition can affect patients of all ages and leads to abnormal stress in the low back, hip and knee, as well as an abnormal gait (walking stance).
What is normal femoral Retroversion?
Normal version is a forward angle of 12-15 degrees. In individuals with version deformities, the femoral neck may be rotated either too far forward – a condition called excessive anteversion, or too far backward, which is called retroversion.
What is excessive anteversion?
Excessive femoral anteversion is one cause of intoeing. With excessive femoral anteversion, the top of the thigh bone (femur) is rotated, causing the foot to turn in. Intoeing due to excessive femoral anteversion is generally most noticeable when a child is between ages three and seven.
How do you assess femoral Retroversion?
There are various ways via which femoral anteversion can be measured. These are some methods used: imaging using radiography, fluoroscopy, computed tomography (CT), ultrasound (US), and magnetic resonance imaging (MRI) as well as functional assessments.
Can you fix femoral Retroversion?
TREATMENT: Treatment of femoral retroversion can become very difficult. The primary treatment is to attempt to stretch the muscle group in the hip to improve internal rotation. This must be done aggressively at a very early age to try to improve the overall muscle balance in the hip.
Is femoral Retroversion a disability?
It is important that the condition be treated early because it can cause pain and long-term disability as the child grows older, because of the pressure that it puts on the joints around the feet, hips, and legs.
Can femoral anteversion be corrected in adults?
A closed, subtrochanteric derotation osteotomy of the femur is a safe and effective procedure to treat either femoral retroversion or excessive anteversion. Excellent or good results were obtained in 93%, despite the need for subsequent implant removal in more than two-thirds of the patients.
Can you fix femoral anteversion?
Femoral anteversion usually improves as a child grows. No treatment is necessary if the degree of rotation is within the healthy range. Surgery is rarely needed for femoral anteversion. It may be recommended to older children (age 8 or older).
How is femoral Retroversion treated?
What is the difference between femoral anteversion and Retroversion?
Femoral retroversion is a rotational or torsional deformity in which the femur twists backward (outward) relative to the knee. The opposite condition, in which the femur has an abnormal forward (inward) rotation, is called femoral anteversion. The condition is usually congenital, meaning children are born with it.
How do you fix femoral retroversion?
What does it mean to have femoral retroversion?
Hip/Femoral Retroversion. Excessive Femoral retroversion; On the left; position of the retroverted femoral head with the foot straight. In this position, the neck of the femur impinges on the front of the acetabulum. On the right; most patients with hip retroversion compensate by walking with an out-toeing gait to avoid hip impingement and pain.
What kind of surgery is needed for hip retroversion?
An excessive femoral retroversion can place stress on hip and knee joints, often leading to joint pain and abnormal wear. In these situations, a surgical procedure known as a femoral osteotomy may be used. This surgery includes cutting and realigning the femur. In some cases, a minimally invasive version of a femoral osteotomy may be performed.
How does anteversion of the femur affect the hip?
But an excessive anteversion of the femur overloads the anterior (front) structures of the hip joint, including the labrum and joint capsule. When the foot is positioned facing directly forward, the femoral head may sublux (partially dislocate) from the socket of the hip joint, called the acetabulum.
What does retroverted acetabulum mean in hip dysplasia?
RETROVERTED ACETABULUM: Acetabular Retroversion is a little-known variety of hip dysplasia. In the normal hip, the alignment of the opening of the acetabulum is anteverted (i.e., it inclines or toward the front of the body so that if you were standing in front of it, you could see part of the inside of the cup).
What can femoral Retroversion cause? Retroversion refers to an abnormal backward rotation of the hip relative to the knee. This condition can affect patients of all ages and leads to abnormal stress in the low back, hip and knee, as well as an abnormal gait (walking stance). What is normal femoral Retroversion? Normal version is…