Q. Parents of a young girl complain of abnormal sitting posture of their daughter (pic below). Which of these might not be applicable in her case?
1. external tibial torsion
2. femoral retroversion
3. valgus feet
4. flexion- internal rotation hip
Answer - 2
The characteristic position of sitting mimics english letter 'W' and thus called 'W position'
This is result of normal increased femoral anteversion; that is increased in very young children and gradually it corrects to normal anteversion of 15 degrees in adulthood.
Increased anteversion presents with this position of sitting as well as an 'in-toeing gait'.
In pathologic hip with flexion-internal rotation deformity as in case with CP (cerebral palsy), all other options may be accompanied.
1. external tibial torsion
2. femoral retroversion
3. valgus feet
4. flexion- internal rotation hip
Answer - 2
The characteristic position of sitting mimics english letter 'W' and thus called 'W position'
This is result of normal increased femoral anteversion; that is increased in very young children and gradually it corrects to normal anteversion of 15 degrees in adulthood.
Increased anteversion presents with this position of sitting as well as an 'in-toeing gait'.
In pathologic hip with flexion-internal rotation deformity as in case with CP (cerebral palsy), all other options may be accompanied.

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