Dear all
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I would appreciate a bit of guidance with a patient.
10 year old girl who is very physically active - good level cross country runner, horse riding
The presenting complaint was dorsal lateral foot pain. bilateral of a duration 3-4 months.
On palpation this was located over the dorsum of the intermediate/lateral cuneiform.
There was also some heat in this area.
The pain was elicited by dorsiflexion of the forefoot on the rearfoot but not on inversion or eversion.
Bio asses showed no significant finding with reasonable ROM and QOM. Plantar Stjt and ankle axis 'normal', midtarsal joint goos quality ROM.
Slight in toeing in gait.
Any ideas?
Thanks
Phil
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