Pigeon toe

Pigeon toe
Classification and external resources
Specialty	medical genetics
ICD-10	M20.5, Q66.2
ICD-9-CM	754.53
MedlinePlus	001601
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Pigeon toe (also known as metatarsus varus, metatarsus adductus, in-toe gait, intoeing or false clubfoot) is a condition which causes the toes to point inward when walking. It is most common in infants and children under two years of age and, when not the result of simple muscle weakness, normally arises from underlying conditions, such as a twisted shin bone or an excessive anteversion (femoral head is more than 15° from the angle of torsion) resulting in the twisting of the thigh bone when the front part of a person's foot is turned in.

Severe cases are considered a form of clubfoot.

The cause of in-toeing can be differentiated based on the location of the disalignment. The variants are:

The most common form of being pigeon toed, when the feet bend inward from the middle part of the foot to the toes.

The tibia or lower leg slightly or severely twists inward when walking or standing.

The femur or thigh bone turns inward when walking.

Most of these conditions are self-correcting during childhood. In the worst cases, surgery may be needed. Most of the time, this involves lengthening the Achilles tendon. Less severe treatment options for pigeon toe include keeping a child from crossing his or her legs, use of corrective shoes, and casting of the foot and lower legs, which is normally done before the child reaches 12 months of age or older.

If the pigeon toe is mild and close to the center, treatment may not be necessary. Ballet has been used as a treatment for mild cases. Dance exercises can help to bend the legs outward.

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