Tibial Torsion

  1. General information
    1. Rotational deformity of tibia (greater than that normally found in newborn)
    2. Types
      1. Internal: knee forward and foot inward
      2. External: knee forward and foot outward (rare, associated with muscle paralysis)
    3. Majority of cases resolve without treatment
  2. Medical management
    1. Splinting: use of Denis Browne splint at night
    2. Surgical correction if still evident by age 3 years
  3. Assessment findings: with child lying supine, assess for straight line between tibial tuberosity and 2nd toe; in tibial torsion, the line intersects the 4th or 5th toe.
  4. Nursing interventions
    1. If no treatment needed, encourage parents to be patient and emphasize that condition usually resolves by itself
    2. If stretching exercises are recommended, teach parents normal ROM exercises and how to carry them out.
    3. Instruct parents on use of Denis Browne splint if needed.

0 comments:

OUR FACEBOOK FANPAGE

ADD US TO YOUR CIRCLE

There was an error in this gadget