Hi there, I was wondering if anyone could give me some advice on a fourteen year old patient I observed during a training clinic recently. He presented with left knee pain in the pataellofemoral area and had a diagnosis of Osgood-schlatter's disease. On observation during examination he had a marked genu valgum of the left leg with an internally rotated tibia and marked forefoot adduction. When he walked the left leg circumducted noticeably and he walked in low gear with both feet. Both his Hallux were markedly abducted from the midline of his feet and the lesser toes leaving a fair space between them and appeared excessively long compared to his other toes although palpation of his mtpjs did not show an abnormal parabola position. He could not evert his left foot during examination although the right was fine. He did not appear to have any leg length discrepancy and he stated that he was not sporty but quite clumsy. His younger brother suffered from dwarfism but there was no other family history of growth or MSK problems. His Hamstrings were extremely tight.
Members do not see these Ads. Sign Up.
He was referred from Physio and was referred back there for stretching exercises. Can anyone tell me what tests would be expected to be carried out on this patient and what could be done as a short term/long term treatment optio please? What was going on here and could Podiatry offer him a better solution than this? Any thoughts greatly appreciated :)
Loading...
- Similar Threads - Help diagnosis Osgood
-
- Replies:
- 22
- Views:
- 8,672
-
- Replies:
- 10
- Views:
- 14,781
-
- Replies:
- 0
- Views:
- 2,552
-
- Replies:
- 3
- Views:
- 10,062
-
- Replies:
- 1
- Views:
- 4,186
-
- Replies:
- 7
- Views:
- 7,240
-
- Replies:
- 9
- Views:
- 7,558