structural

Toe Walking

Epidemiology

 

70% male

70% positive FHx

20% learning difficulties

 

DDx toe walking

 

Early / late onset

Unilateral  / bilateral

 

1.  Habitual

 

Toddlers - child can heel walk

 

2.  Structural

 

Fixed equinus - CTEV / arthrogryposis

Short / tight T Achilles

Space occupying lesion in calf