Femoral Retroversion Symptoms, Exercises, Treatment, Test, ICD-10 | Femoral anteversion vs Retroversion


  • What is Femoral Retroversion? 
  • Femoral Retroversion Symptoms
  • Femoral Retroversion Exercises
  • Femoral Retroversion Treatment
  • Femoral Retroversion Test
  • Femoral Retroversion ICD-10
  • Femoral anteversion vs Retroversion

What is Femoral Retroversion?

Femoral retroversion refers to the abnormal alignment of the femur bone in the hip joint, characterized by excessive inward rotation. Unlike femoral anteversion, where the femur rotates excessively outward, retroversion involves inward rotation beyond the normal range. This misalignment can affect the biomechanics of the hip joint, leading to various symptoms and functional limitations.

Femoral Retroversion Symptoms, Exercises,  Treatment, Test, ICD-10  Femoral anteversion vs Retroversion

Femoral Retroversion Symptoms

The symptoms of femoral retroversion can vary depending on the severity of the condition and individual factors. Common symptoms may include:

Hip Pain: Patients with femoral retroversion may experience persistent hip pain, particularly during activities that involve rotation or weight-bearing.

Decreased Range of Motion: Restricted movement in the hip joint is a common symptom, making activities like walking, running, or climbing stairs challenging.

Gait Abnormalities: Individuals with femoral retroversion may exhibit an altered gait pattern, such as toe-in walking (internal rotation of the feet) or a waddling gait.

Hip Instability: Some patients may experience feelings of hip instability or a sense of "giving way" in the affected hip joint.

Femoral Retroversion Exercises

While femoral retroversion may require medical intervention in severe cases, certain exercises, and physical therapy techniques can help improve hip mobility, strengthen supporting muscles, and alleviate symptoms. Examples of exercises for femoral retroversion may include:

Hip Rotator Stretch: Stretching exercises targeting the hip rotator muscles can help improve flexibility and reduce tightness in the hip joint.

Hip Strengthening Exercises: Strengthening the muscles surrounding the hip joint, including the glutes, quadriceps, and hamstrings, can enhance stability and support.

Core Strengthening: Exercises to strengthen the core muscles can improve overall stability and alignment, reducing strain on the hips.

Low-Impact Activities: Engaging in low-impact activities such as swimming or cycling can help maintain cardiovascular fitness without exacerbating symptoms.

Femoral Retroversion Treatment

Treatment for femoral retroversion depends on the severity of symptoms and their impact on daily life. Conservative treatment options may include:

Physical Therapy: A structured physical therapy program can help improve hip mobility, strengthen muscles, and alleviate pain and discomfort.

Orthotic Devices: Orthotic inserts or shoe modifications may be recommended to correct gait abnormalities and improve biomechanics.

Pain Management: Over-the-counter pain relievers or anti-inflammatory medications may be prescribed to manage pain and inflammation.

In severe cases where conservative measures are ineffective, surgical intervention may be considered. Surgical options for femoral retroversion may include corrective osteotomy procedures to realign the femur bone or hip arthroscopy to address associated joint issues.

Femoral Retroversion Test

Diagnostic tests for femoral retroversion may include physical examination, imaging studies such as X-rays, CT scans, or MRI scans, and gait analysis. 

Femoral Retroversion ICD-10

Femoral retroversion refers to a condition in which the femoral head is rotated posteriorly about the femoral neck. This misalignment often results in hip discomfort and limitations in movement. In the United States, healthcare providers can utilize the ICD-10-CM code Q65.891 for femoral retroversion to facilitate reimbursement processes. This code falls under the broader subcategory Q65.8, which encompasses various congenital hip deformities.

Femoral anteversion vs Retroversion

Femoral anteversion and retroversion are orthopedic conditions that involve the abnormal rotation of the femur bone within the hip joint. Understanding the differences between these two conditions is crucial for accurate diagnosis and appropriate treatment. Here's a concise comparison:

Femoral Anteversion:

Femoral anteversion refers to an excessive inward rotation of the femur bone in relation to the hip joint. In simpler terms, the thigh bone rotates more than normal towards the front of the body. This condition is often seen in children and tends to improve as they grow older. However, some individuals may retain a degree of femoral anteversion into adulthood.

Key Characteristics of Femoral Anteversion:

  • Excessive inward rotation of the femur bone.
  • Typically seen in children and may improve with age.
  • This can lead to an increased inward rotation of the feet and knees.
  • May cause a "pigeon-toed" appearance when walking.
  • Associated with a decreased risk of hip dislocation.

Femoral Retroversion:

On the other hand, femoral retroversion involves an excessive outward rotation of the femur bone within the hip joint. This condition is less common than femoral anteversion and can result in various symptoms, including hip pain and gait abnormalities. Femoral retroversion can affect individuals of all ages and may require conservative or surgical treatment depending on the severity of symptoms.

Key Characteristics of Femoral Retroversion:

  • Excessive outward rotation of the femur bone.
  • Less common than femoral anteversion.
  • Can cause hip pain, gait abnormalities, and decreased range of motion.
  • May lead to hip instability and increased risk of hip dislocation.
  • Treatment may include physical therapy, orthotic devices, or surgical intervention.

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