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Chapter-341 Toe Walking

BOOK TITLE: Textbook of Orthopedics & Trauma (4 Volumes)

Author
1. Kulkarni GS
2. Kulkarni RM
3. Negandhi Rajiv
ISBN
9789385891052
DOI
10.5005/jp/books/12869_342
Edition
3/e
Publishing Year
2016
Pages
2
Author Affiliations
1. Postgraduate Institute and Swasthiyog Pratishthan, Miraj, India, Postgraduate Institute of Swasthiyog Pratisthan, Miraj, Swasthiyog Pratisthan, Postgraduate Institute of Orthopedics, Miraj, Maharashtra, India, Postgraduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India; Sandhata Medical Research Society, Miraj, Maharashtra, India
2. Postgraduate Institute of Swasthiyog Pratisthan, Extension Area, Miraj, Postgraduate Institute of Swasthiyog Pratishthan, Miraj, Maharashtra, India
3. Hong Kong UK Singapore USA; Postgraduate Institute of Swasthiyog Pratishthan, Fracture and Orthopedic Hospital, Miraj, Maharashtra, India, Hong Kong UK Singapore USA, Postgraduate Institute of Swasthiyog Pratishthan, Fracture and Orthopedic Hospital, Miraj, Maharashtra, India
Chapter keywords
Toe walking, idiopathic toe walking, congenital short tendo calcaneus, Duchenne’s muscular dystrophy, congenital subluxation

Abstract

This chapter talks about the toe walking. The toe walking condition is twice as common in boys, and approximately in one-third cases, there may be family history. Idiopathic toe walking shows an adequate range of dorsiflexion to above 15 degrees in a child less than 2 years old. Even if toe walking continues for several years, the range of dorsiflexion may remain full but in some cases, it may be less. Spontaneous recovery without treatment is possible for idiopathic toe walking. Heel cord stretching and dorsiflexion strengthening exercise are done repeatedly during the day for a period of 3–4 months. Congenital short tendo calcaneus, cerebral palsy, Duchenne’s (pseudohypertrophic) muscular dystrophy and congenital subluxation or dislocation of the hip are the causes of toe walking.

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