dwarsrotatieafwijking

Dwarsrotatieafwijking, also known as transverse rotational deviation, refers to a condition where there is an abnormal twisting or rotation of a limb, particularly involving the tibia (shinbone) or femur (thighbone). This condition results in a misalignment that causes the limb to rotate inward or outward relative to its normal position. It is commonly observed in children but can also persist into adulthood if untreated.

The most frequent form of dwarsrotatieafwijking is tibial torsion, characterized by an inward twist of the tibia, leading to in-toeing gait. In contrast, femoral anteversion involves an increased inward rotation of the femur, also contributing to in-toeing. The causes of these deviations are often congenital, with some cases resulting from developmental factors during growth. Acquired forms may develop due to trauma or neurological conditions affecting muscle control or bone growth.

Diagnosis typically involves physical examination, assessing limb rotation, and observation during gait. Imaging techniques such as X-rays or CT scans may be used to quantify the degree of torsion. The severity of the deviation influences treatment options, which may range from observation and physical therapy to surgical intervention in severe or persistent cases.

Management aims to correct or accommodate the abnormal rotation, improving gait and reducing discomfort or risk of joint problems. Physical therapy often includes stretching and strengthening exercises to improve mobility and muscle balance. Surgical procedures, such as derotation osteotomy, are considered when conservative treatments are insufficient, especially in adults.

Dwarsrotatieafwijking can impact daily functioning and joint health if left unaddressed. Early diagnosis and tailored treatment plans are essential to improve outcomes and prevent long-term complications.