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Usefulness of tibia counter rotator (TCR) for treatment of tibial internal torsion in children  

Song, Dong Ho (Department of Pediatrics, Korea University College of Medicine)
Lee, Yoon (Department of Pediatrics, Korea University College of Medicine)
Eun, Baik-Lin (Department of Pediatrics, Korea University College of Medicine)
Lee, Kwang Jae (Department of Rehabilitation Medicine, Chungnam National University College of Medicine)
Kang, Sang Kuk (Department of Rehabilitation Medicine, Chungnam National University College of Medicine)
Vaq, Sung Gin (Department of Rehabilitation Medicine, National Health Insurance Corporation Ilsan Hospital)
You, Sung (Department of Rehabilitation Medicine, National Health Insurance Corporation Ilsan Hospital)
Shin, Jung Bin (Department of Rehabilitation Medicine, National Health Insurance Corporation Ilsan Hospital)
Kim, Bong Ok (Department of Rehabilitation Medicine, Chungnam National University College of Medicine)
Publication Information
Clinical and Experimental Pediatrics / v.50, no.1, 2007 , pp. 79-84 More about this Journal
Abstract
Purpose : Tibial internal torsion is prevalent in East Asian countries such as Korea and Japan, where sitting on the floor is common behavior. Tibial internal torsion or excessive lateral tibial torsion may cause esthetical, functional, or psychological problems and also may induce degenerative arthritis in older age. The aim of this study is to evaluate the therapeutic effect of Tibial Counter Rotator (TCR) in patients with tibial internal torsion. Method : One hundred forty nine children (274 limbs) with tibial internal torsion participated in this study. Transmalleolar angle were measured with gravity goniometer. When tibial internal torsion was detected, TCR was applied at least for 3 hours a day during sleep. The patient's progress was followed monthly and transmalleolar angle was reevaluated by the same examiner. Results : Transmalleolar angle was significantly increased in patients with tibial internal torsion during TCR application (P<0.001). Conclusion : TCR can be one of the effective methods for correcting tibial internal torsion in children under 12 years old of age.
Keywords
Tibia; Torsion; Tibia counter rotator; Child;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Valmassy R, Stanton B. Tibial torsion: normal values in children. J Am Podiatr Med Assoc 1989;79:432-5   DOI
2 Tunner MS. The association between tibial torsion and knee joint pathology. Clin Orthop 1994;322:47-51
3 Vanderwilde R, Staheli LT, Chew DE, Malagon V. Measurements on radiographs of the foot in normal infants and children. J Bone Joint Surg Am 1988;70:407-15   DOI
4 Valmassy R. Biomechanical evaluation of child. Clin Podiatry Br 1984;1:563-79
5 Yagi T. Tibial torsion in patients with medial-type osteoarthrotic knees. Clin Orthop 1994;302:52-6
6 Takai S, Sakakida K, Yamashita F, Suzu F, Izuta F. Rotational alignment of the lower limb in osteoarthritis of the knee. Int Orthop 1985;9:209-15   DOI
7 McDonough MW. Angular and axial deformities of legs of children. Clin Podiatry 1984;1:601-20
8 Arkin AM, Katz JF. Effects of Pressure on epiphyseal growth. The mechanism of plasticity of growing bone. J Bone Joint Surg Am 1956;38:1056-76   DOI
9 Song DH, Eun BL, Park SH, Lee JY, Tockgo YC. Tibial torsion in children of the Jeju area. Korean J Pediatr 2005:48:75-80
10 Nagamine R. Medial torsion of the tibia in japanese patient with osteoarthritis of the knee joint pathology. Clin Orthop 2003:408:218-24   DOI
11 Weseley MS, Barenfeld PA, Eienstein AL. Thoughts on in-toeing and out-toeing: Twenty years' experience with over 5000 cases and a review of the literature. Foot Ankle 1981;2:49-57   DOI   ScienceOn
12 Lang LMG, Volpe RG. Measurement of tibial torsion. Am Podia Med Assoc 1998;88:160-5   DOI
13 Le Dammay P. La torsion du tibia normale pathogique et experimentale. J Anat Phisiol 1909:45:598-615
14 Somerville EW. Persistent fetal alignment. J Bone Joint Surg Br 1957;39B:108-13
15 Turner MS, Smillie IS. The effect of tibial torsion on the pathology of the knee. J Bone Joint Surg Br 1981;63-B:396-8   DOI
16 McSweeny A. A study of femoral torsion in children. J Bone Joint Surg 1971;53:90-5
17 Hutter CG, Scott W. Tibial torsion. J Bone Joint Surg Br 1949;21A:511-8
18 Bresnahan PJ, Lubert MA. The tibial torsion transformer. J Am Podiatr Med Assoc 1992;82:42-4   DOI
19 Valmassy RL. Lipe L, Falconer R. Pediatric treatment modalities of the lower extremity, J Am Podiatr Med Assoc 1988;78:69-80   DOI
20 Valmassy RL. Torsional and frontal plane conditions of the lower extremities. In Thomson P: Introduction to podopediatrics, London, 1993, WB Saunders pp 248-53
21 Staheli LT, Corbett M, Wyss C, King H. Lower-extremity rotational problems in children: normal values to guide management. J Bone Joint Surg Am 1985;67:39-47   DOI