External rotation duct

Synonyms

Outward walk, toe out walk, Charlie Chaplin walk

definition

Of the External rotation duct describes that Gait pattern, in which the tips of the feet deviate outwards on an (imaginary) straight line when walking, which is why the External rotation duct also called outward or toe outward gait. Of the External rotation duct is exemplified and illustrated by the typical Charlie Chaplin gait. In contrast to the so-called Internal rotation gait he comes External rotation duct seldom before.

Gait pattern

The main characteristic of the External rotation gait is the outward deviation of the toes. In the physiological gait pattern, the feet are placed almost parallel to each other and the tips of the feet point straight forward with only slight deviation. In contrast, the tips of the feet show the External rotation duct outward, what a waddling Gait pattern caused. As a result, the foot is not rolled over the entire sole of the foot, as is normally done, but the unwinding takes place over its inner edge. This can be seen well on the shoes, as the shoe sole is mainly worn on the inside.

Appointment with a hip expert?

I would be happy to advise you!

Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)

The hip joint is one of the joints that are exposed to the greatest stress.
The treatment of the hip (e.g. hip arthrosis, hip impingement, etc.) therefore requires a lot of experience.
I treat all hip diseases with a focus on conservative methods.
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

  • Lumedis - your orthopedic surgeon
    Kaiserstrasse 14
    60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
Further information about myself can be found at Dr. Nicolas Gumpert

root cause

A very common cause of the external rotation gait is a misalignment of the lower extremity in which the legs are in the Overall picture rather turned outwards are. Most of them are Misalignments in the area of ​​the foot or lower leg. However, also can Misalignments of the thigh or hip lead to an external rotation path. In general, these misalignments can either be present from birth or can only be acquired in the course of life. Causes of acquired orthopedic misalignments are, for example Broken bonesthat haven't healed as expected. The external rotation duct can also be a specific symptom of the so-called adolescent femoral head solution (Epiphysiolysis capitis femoris) be. In children during the growth phase, an external rotation gait can only occur for a limited time uneven bone growth and disappears by itself when the growth in length is complete. Other and rare causes of an external rotation gait are underlying ones neurological diseases, by accompanying muscle paralysis can result in an external rotation path. Another cause of external rotation is the habit So you can get used to a certain gait pattern and make it your own without a misalignment of the leg or any other illness being the cause. The external rotation duct occurs more frequently People who are very tall and heavy and consequently a high load is placed on the foot. Another risk group in which there is increased external rotation gait are people with a Flat foot in medical history.

The external rotation gait can be based on a misalignment in the foot skeleton.

Consequences of the external rotation duct

The external rotation gait has itself no disease value. However, he can be a symptom represent an underlying disease, such as epiphysiolysis capitis femoris. On the other hand brings the external rotation gait itself Improper loading of the foot structures with itself, which after a existence for many years can lead to diseases of the foot again. An important example of this is the favored emergence of a so-called hallux valgus as a result of the external rotation. This is where the foot becomes characteristic unrolled over the inner edge and thus a large part of the body weight is transferred to the big toe and is no longer evenly distributed between all toes as intended. This incorrect loading can lead to a misalignment of the big toe (hallux valgus). Another consequence after many years of external rotation and the resulting one Improper loading of structures like Ribbons or wear of cartilage are Pain. These can occur in the foot, in the knee, but also in the hip or back.

therapy

Children who have a slight external rotation gait without any complaints usually need during the growth phase no treatment, since the external rotation path is usually corrected in further growth. However, if the external rotation duct is very pronounced, it does not go away by itself or it even causes discomfort, is one therapy inevitable around To avoid consequential damage. The therapy takes place depending on the underlying root cause and ranges from conservative methods such as the application of orthopedic insoles in the shoes or Training of specific muscle groups up to surgical treatment methods.