External Tibial Torsion
Duckfeet Syndrome often occurs as the result of external tibial torsion. This is where the shinbone twists outwards causing the feet and toes, likewise, to turn out. A degree of tibial rotation is normal in the early stages of growth.
But if this becomes excessive, it may cause discomfort and problems later including a painful knee condition known as patellofemoral pain syndrome.
Femoral Retroversion
This type of Duckfeet Syndrome is the result of the femur (thigh bone) turning outwards, which, in turn, rotates the knees and the feet out into the typical duck footed stance.
Excessive weight gain is a common precursor to this form of Duck feet and may result in severe hip problems and arthritic conditions.
Flat Feet – Pes Planus
Flat feet (the lack of foot arches) can cause the feet to rotate outwards as the lack of arch support causes the foot to roll inwards.
In most case, flat-footed children develop normal arches over time. Poor posture, lack of muscle tone, injury and genetics can also play a part in the development of Duckfeet Syndrome.
Symptoms
The most noticeable symptoms are one or both feet turn outwards when standing, walking or running. The knees also may point outwards. Your child may appear to be clumsy or awkward when walking or running. You may also notice your child exhibits flat feet.
In most cases, children will not experience discomfort but if they complain of foot, lower leg, knee or hip pain then they need to see a podiatrist as soon as possible. Normally, you can expect your child to be able to walk with knees pointing straight ahead and feet pointing slightly outwards by around the age of four.
If your child still exhibits a duck footed walk or stance then we recommend a visit to your podiatrist.
