Children's feet In-toeing in children, is a normal development morphology between 3 and 6 years and is twice as common in females. In-toeing gait or pigeon toes can present due to variation in the rotation of the lower limb causing the toes to point inwards. There are several causes such as the femur, tibia and/or the alignment of the foot. Regardless of the cause the majority will self resolve. Just checking Importantly other presentations need to be ruled out with differential diagnosis including cerebral palsy, infantile Blount's disease, metabolic bone diseases, and skeletal dysplasias thus podiatric assessment is warranted. Why does it occur? The most common condition for in toeing in children younger than one year of age is metatarsus adductus. It is seen up to 1% of births, and more frequent in girls compared to boys, and is ...