Out Toeing in Children

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.


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 CCG-15N

Referral Forms

DRSS Referral form

Supporting Information

Pathway Group

This guideline has been signed off by the Western Locality on behalf of NEW Devon CCG.

Publication date: May 2017


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