This is a severe case of FEMORAL RETROVERSION with compensatory internal tibial torsion. Send an enquiry and get response fast - Updated Dec 2020 History and etymology. The surgical femoral anteversion treatment which is commonly used is called a femoral derotation osteotomy. My wife is 35 years old and has multiple issues with her legs and feet. dislocation of the adult hip a technique with full access to the femoral head and acetabulum . We discuss the rationale, surgical technique, and outcome of this patient, who underwent bilateral closed … Purpose: To report 5-year outcomes of arthroscopic treatment of femoroacetabular impingement syndrome in patients with femoral retroversion compared with a control group of patients with normal femoral anteversion. Already popular in Europe, the Bernese, also known as the Ganz procedure or periacetabular osteotomy (PAO), has become a common treatment for adults in the United States. Femoral anteversion refers to medial torsion of the femur, which is a normal variant in most children, but may be excessive in a small minority. You can see that in this case there is no happy medium. What causes femoral anteversion in a child? without the risk of avascular necrosis. It was first performed in 1984 in Bern, Switzerland by doctors Reinhold Ganz and Jeffrey Mast. Femoral Anteversion is a developmental anomaly meaning that this deformity is present during development of the foot in the fetus such that the foot develops in an abnormally rotated position. The child may have a pigeon-toed appearance. Retroversion of the femoral neck, suspected clinically, is best measured by CT version studies. The surgical treatment of femoroacetabular impingement is aimed at restoring a more normal femoral head–neck offset in order to increase the clearance and prevent femoral abutment against the acetabular edge. The primary treatment is to attempt to stretch the muscle group in the hip to improve internal rotation. TREATMENT: Treatment of femoral retroversion can become very difficult. Current methods include open and arthroscopic techniques. Is based on degree of anteversion of femoral neck in relation to the femoral condyles . Femoral retroversion is common in early infancy and is caused by external rotation contracture of the hip secondary to intrauterine packing.1, 7, … Imaging. In patients with severe femoral anteversion or retroversion, a subtrochanteric rotational osteotomy of the femur may be performed 7. Treatment and prognosis. This health problem causes a child’s knees and feet to turn inward. Femoral anteversion usually improves as a child grows. Surgery is rarely needed for femoral anteversion. Credit: musculoskeletalmri.blogspot.com . Out-Toeing or Duck Feet . Untreated femoral anteversion may lead to mobility issues and an increased fall risk as the patient ages. Femoral anteversion is the commonest cause of the intoe gait. The internal tibial torsion is an internal spin along the long axis of the shaft in a response to try to correct alignment. A closed, subtrochanteric derotation osteotomy of the femur is a safe and effective procedure to treat either femoral retroversion or excessive anteversion. Femoral Retroversion. The main reason for this rotation is still a matter of study but some studies have suggested a genetic link to it along with how the baby is positioned inside the uterus. Children that have out-toeing caused by femoral retroversion (a condition where the thighbone is angled backwards compared to the hip joint), can be at increased risk of developing childhood arthritis or a “slipped capital femoral epiphysis.” This is more common in children who are obese, so proper weight management from an early age is particularly important if your child is … An initial radiograph showed bilateral femoral neck fractures (right: Garden II, non-displaced fracture; left: Garden III, displaced fracture) (Fig. Femoral retroversion is less common than femoral anteversion. Limitation of internal rotation indicates femoral anteversion, whereas limitation of external rotation indicates femoral retroversion.