Please Help me diagnose what's going on!?!.
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A 2.5 year old girl presented with intoeing and unusal gait...(not so uncommon!!). She is hyperflexible....REALLY flexible...best I've ever seen in all my years of practice!! She has genu recurvatum, no equinus, extreme hip R.O.M. 90 degrees internal AND external!, and chronic "W" sitter.....and she has really poor core stability also! BUT:
When in a non- weight bearing position, both feet are very cavoid...the left with a dorsal enlargement noticeable just proximal to the MTJ. When weight bearing the feet have such a well defined arches, one would assume you were looking at an 8 year old foot.
There is no family history of muscle/nerve/foot problems that mum is aware of.
The little girl walked at 14 months, but did not crawl properly until after she began walking. She was a normal birth, normal gestation, no clicky hips, and no talipes.
Her gait is with bent knees (I'm thinking for stability) and it's a real walk and bounce type of stryde.
I am concerned more for the feet presentation than the intoeing, as I believe attention to her sitting position will help this intoeing in the long term. Pes Cavoid is not what I would assume normal in a 2.5 year old child........what else could this be??? What else have I missed??? Thanks Kym:dizzy:
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Learning to tie shoelaces - aids?
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Increased hallux angle in children and its association with insufficient length of footwear
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Learning to tie shoelaces - aids?
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Increased hallux angle in children and its association with insufficient length of footwear
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