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mlhw NH
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Femoral Torsion - kinda long
mlhw NH
member
Hi! I had posted this elsewhere but thought I might get more responses here.
I brought my son into the dr. last month for concerns about his left foot jetting out to 9:00 while weight bearing. When we saw the pediatrician she told me that it was femoral torsion and it was something that most often resolves itself by the age of 3. She wanted to just monitor it until then. He is currently 14mo. I just wasn't comfortable with a wait, watch, and worry approach. Pediatrician said she would compromise since DS has met most of his gross motor milestones slightly behind. She referred us to Early Intervention for evalutaion.
Fast forward to eval... DS is on track for almost all of the testing areas. The ones where he is behind he isn't behind enough to qualify for Early Intervention. The PT on the team did reccomend that we see an Orthopedist. She is questioning tibial issues, low tone, and leg length (Left shorter than right). I did contact and pediatric orthopedist, but with only one in the entire state we are looking at April where we are willing to drive to the office further away. We are on the cancellation list for the closer office.
ANYWAY, I guess what I am looking for is any experience others may have with this. I am concerned that maybe I am being THAT crazy mother where everything I've read says that it'll usually straighten itself out by age 8. Also, I have family saying repeatedly "He's fine! It'll straighten out when he starts walking." I recognize in the sceme of things this is minor, but I can't help but think that the Pedi might be missing something.
Thank you for taking the time to read this!
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Re: Femoral Torsion - kinda long
I would feel very comfortable with going to the ortho. They will more than likely do an xray of both legs to compare an make sure that the torsion is only thing you are dealing with and not some other growth problem.
It is always better to be safe than sorry. I would rather do interventions now, such as splinting or othotics, rather than when he is in grade school. Walking with a limp or splints could be stigmatizing at 8. Also, treatment compliance from an energetic 8 year old will be much more difficult to get.
Tell your family to suck it. You are the mommy.
Good Luck!
I wish I knew how to insert pictures in this. Chris started walking (no joke) at 7 1/2 months. We thought - wow amazing. His legs thought - we're not ready! Chris had some MAJOR bowing by about 10 months, so much so that his pediatrician recommended he see an orthopedist right away. If you saw him, you would immediately be distressed by his legs. And he in-toed. We took him to the doctor ready for him to say braces. He also said they would auto-correct by the time he's 3. We were very skeptical. He then explained that he literally "wrote the book" on this. Apparently he's written a book on this subject. He's also the head ortho at our hospital. We cautiously took him at his word and started to document his legs, month by month and were told to bring him back every 6 months. We dutifully did so and each time his bowing was less and less.
When we had to get him evaluated for EI, the PT evaluator said his was the worst case she'd ever seen. Back we went to the ortho. He said "trust me". So we trusted him.
He went to an ABA center 6 months later. Their PT freaked. Back to the ortho. "Trust me" again.
Well, he's 3 now - and he has straight legs. He still in-toes but that's a whole other deal. The ortho has told us that as long as it doesn't interfere with his milestones it's more aesthetic than anything else. He then proceeded to turn both his feet all the way in. Guess he knows a little on the subject.
I would recommend to give it some time and do what we did - take a picture of him standing up, no pants, against a solid background if you can and document his legs. Do this once a month. If you notice improvement in the pics, good. If you notice it getting worst, then you've got "proof" to show an ortho.
Good luck!
my daughter's was not at 9 o'clock but it was pretty turned outward. I was concerned at 15 months, but the pedi waited till 18 months for the referral when she had been walking since 10 months and hers seemed that it was not getting better. We were not told what it could be just to go to the specialist and start there. The orthopedist did a full exam and xrays and told us that it would probably start to straighten out, but if it didn't by age 3 to come back. She still has it a tad bit, but it has greatly improved.
For her they think that it was how she was in the womb and then she slept very strangely. She slept with her legs crossed and over her legs from about age 8-9 months until around age 2.
I would go to the ortho and go from there. I don't think there is anything wrong with an ortho consult, even if they have you go back in a few months. The above is just my experience, but I was concerned as well and told all the same things. It sounds just like what I went through, and even now I ask my Dad (who is a neuroradiologist) to look at her leg and foot when she walks and if he thinks it looks better, etc.