Out Toeing in Children

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Out toeing is when a child's feet point outwards. As with in-toeing, this condition will usually resolve spontaneously by the age of four. Referral to Physiotherapy is not necessary.

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Referral Criteria

Recent onset out-toeing in a teenager may be serious. Check the hips for a Slipped Upper (Capital) Femoral Epiphysis. If concerned, make an urgent referral or discuss with the on call team

Refer if asymmetric or reduced hip abduction.

Out-toeing in an adolescent is only normal if hips have normal range of movement and are pain free. No action required other than reassurance.

Referral Instructions

e-Referral Service Selection

Specialty: Children's and Adolescent Services
Clinic Type: Orthopaedics
Service: DRSS-Western-Child & Adolescent-Devon ICB-15N

Referral Form

DRSS Referral form

Pathway Group

This guideline has been signed off on behalf of NHS Devon.

Publication date: May 2017

Referral