کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6218771 | 1607423 | 2016 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: In-Toeing Is Often a Primary Care Orthopedic Condition In-Toeing Is Often a Primary Care Orthopedic Condition](/preview/png/6218771.png)
ObjectiveTo evaluate in-toeing consults to a pediatric orthopedic clinic to determine the proportion that could be managed by a primary care physician.Study designA prospective registry was created for 143 consecutive children referred to a pediatric orthopedic clinic for “in-toeing.” Each patient underwent a careful history and physical examination, which included a rotational profile. We recorded the final diagnosis, treatment offered, follow-up visit results, and the source of the referral.ResultsAfter pediatric orthopedic evaluation, 85% of patients had a confirmed diagnosis of in-toeing, and 15% had a different final diagnosis. Seventy-four percent of patients had 1 consultation visit, 18% had 2, and 8% had >2 visits. None of the referred patients was a candidate for treatment by casting or surgery.ConclusionIn most cases, in-toeing is a normal variation of development that can be managed by counseling and observation by the primary care physician alone. Rare cases of severe in-toeing >2 standard deviations from the mean should likely still prompt referral to a pediatric orthopedic surgeon for potential intervention.
Journal: The Journal of Pediatrics - Volume 177, October 2016, Pages 297-301