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Out-toeing

PAEDIATRIC

Minimum Referral Criteria

  • Category 1
    (appointment within 30 calendar days)
    • No category 1 criteria
  • Category 2
    (appointment within 90 calendar days)
    • No category 2 criteria
  • Category 3
    (appointment within 365 calendar days)
    • Asymmetrical deformity
    • Progressive out-toeing deformity or lack of spontaneous resolution
    • Functional difficulties and/or ongoing pain
    • Thigh-foot angle > 30 – 40 degrees

1. Reason for request Indicate on the referral

  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can't order, or the patient can't afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary

2. Essential referral information Referral will be returned without this

  • Clinical history and examination including key points:
    • evolution and duration of symptoms
    • observation of gait
    • treatment prescribed (analgesics, physiotherapy)
    • current and past medical history and medications
    • relevant family history associated to this condition i.e. siblings/parents with same condition
  • Pelvic XR if asymmetrical deformity or acute onset

3. Additional referral information Useful for processing the referral

  • No additional referral information

4. Request

Last updated: 13 June 2023