A female toddler has been diagnosed with toeing-in (metatarsus adductus). What teaching should the pediatrician provide to the parents of the child about her diagnosis?
A)
"She will likely walk later than most children, but it will resolve itself with time."
B)
"We'll likely need to start putting the first of a series of casts on her legs quite soon."
C)
"The best time to perform the surgery that's needed will be at age 3 or 4."
D)
"While there's no effective treatment for her toeing-in, most children learn to accommodate the problem and walk independently."
Ans:
B
Feedback:
Toeing-in, regardless of staging, requires some form of intervention, most commonly braces or casts. Treatment is not noted to include surgery, and spontaneous resolution is not common.
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