Out-toeing can be caused by several factors, many of which are benign and resolve naturally as a child grows. Some common causes include:
External Tibial Torsion: This occurs when the tibia, or shinbone, twists outward. It often becomes more apparent as the child begins to walk.
Femoral Retroversion: This condition involves the thigh bone (femur) being rotated outward. Unlike femoral anteversion which causes in-toeing, femoral retroversion leads to out-toeing.
Flat Feet: Children with flat feet tend to have a pronated foot posture, which can contribute to out-toeing.
Neuromuscular Disorders: Conditions like cerebral palsy can affect muscle tone and control, leading to out-toeing.
Habitual or Positional: Sometimes, out-toeing is simply a matter of habit or the result of the child's position in the womb.
