Infants are sometimes born with their feet turning in. This turning occurs from the front part of their foot, and is called metatarsus adductus. It most commonly is due to being positioned in a crowded space inside the uterus before the baby is born.
Being pigeon toed or In-toeing during gait commonly begins during childhood and may continue into adult life if not addressed appropriately. There are a number of anatomical, physiological and biomechanical factors which may contribute to the visual appearance of an intoed foot. That being said being able to educate a patient about the potential risks and benefits is an important factor in developing a management plan for the presenting complaint.
Professional Reference articles are designed for health professionals to use. You may find one of our health articles more useful. During the early years there can be some obvious gait abnormalities in children.
For many children, pigeon toes develop in the womb. Limited space in the uterus means some babies grow in a position that causes the front part of their feet to turn inward. This condition is called metatarsus adductus.
A more recent article on lower extremity abnormalities in children is available. This is a corrected verison of the article that appears in print. Rotational and angular problems are two types of lower extremity abnormalities common in children.
Leg and foot problems in childhood are common causes of parental concern. Rotational problems include intoeing and out-toeing. Intoeing is most common in infants and young children.
Sheinberg, D. Femoral anteversion is the most common cause of an intoe gait in children greater than 3. It is caused by a twisting of the thigh bone.
Intoeing means that when a child walks or runs, the feet turn inward instead of pointing straight ahead. It is commonly referred to as being "pigeon-toed. Intoeing is often first noticed by parents when a baby begins walking, but children at various ages may display intoeing for different reasons.