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Table 3 Differential diagnostics in ITW

From: Idiopathic toe-walking in children, adolescents and young adults: a matter of local or generalised stiffness?

Differential diagnostics where ITW is present as symptom or marker[2, 5, 18, 26–29]

Based on central nervous system disorders

Cerebral palsy

Lesion of the tractus corticospinalis

Hyperkinesia disorders

Transient dystonia (unilateral ITW)

Based on peripheral neurological disorders (spinal aberrations)

Congenital/acquired spinal cord lesion

Diastematomyelia

Spinal tumour

Sensory processing disorders

Based on peripheral neuromuscular disorders

Peroneal muscular atrophy

Muscular dystrophy

Neuropathy

Based on musculoskeletal disorders

(Congenital) contracture of the achilles tendon or calf muscles

Osseal disorders as congenital club foot

Leg length discrepancies (unilateral ITW)

Arthrogryposis

Based on developmental and pervasive disorders

Autism/Autism Spectrum Disorder

Pervasive developmental disorder

Language, learning and developmental disorders