NPTE quiz questions

Question 1

A PT is tx ped pt with cerebral palsy. Pt has toe-in posture. Which of the following postural strategies most accurately correlates with the observed foot position?
A) Metatarsus abductus; internal tibial torsion; increased femoral retroversion.
B) Metatarsus adductus; internal tibial torsion; increased femoral anteversion.
C)Metatarsal adductus; external tibial torsion increased femoral retroversion.
D) Metatarsal abductus; external tibial torsion; increased femoral anteversion.

Answer 1

B. The three major causes of pediatric in-toeing are metatarsus adductus; internal tibial torsion; femoral anteversion.

Metatarsus adductus is a transverse plane deformity with adductuion of all the five metatarsals, which occurs at the the tarsometatarsal joint. Femoral anteversion is considered to exist when the angle of anterior torsion is greater then 15-20 degrees.

Pg 715, 772 of Magee DJ Ortho Phys Assessment 6th Ed.