Angelite Nurses: Tibial Torsion

Tibial Torsion

General information

Rotational deformity of tibia (greater than that normally found in newborn)
Types

Internal: knee forward and foot inward
External: knee forward and foot outward (rare, associated with muscle paralysis)

Majority of cases resolve without treatment

Medical management

Splinting: use of Denis Browne splint at night
Surgical correction if still evident by age 3 years

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.
Nursing interventions

If no treatment needed, encourage parents to be patient and emphasize that condition usually resolves by itself
If stretching exercises are recommended, teach parents normal ROM exercises and how to carry them out.
Instruct parents on use of Denis Browne splint if needed.

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