Femoral anteversion is an inward rotation of the femur bone from the upper neck part of the femur. It may be a problem in young children, who demonstrate 'kissing knees' and 'pigeon toes' together with clumsy gait. Note that there are other causes of pigeon toes in children.
A toddler with femoral anteversion often prefers to sit on the floor with the legs in a 'W' position - it is not uncomfortable in this position because at this age it is common to have anteversion at the hip. In infants femoral anteversion is common and considered to be normal.
But as a toddler develops into a child the hip angle changes and it is then abnormal to be comfortable in a W position, and abnormal for the gait to be in-toed.
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