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I have a 9 year old girl with quite impressive HAV. Her mother says it has been getting worse. Child sometimes gets sore feet when she wears crappy shoes.
She pronates excessively through her STJ. She has internal rotation of the knee
No muscle tightness noted
Callus SM 2 and 3 BF and medial 1st BF
Some clawing of the lesser toes
RCSP 3 degress everted
NCSP 0 degrees
Tried anti pronation strapping and this improved her calc eversion and pornation.
Have referred for xrays. Looking at getting orthoses made.
No abnormalities noted for monfilament or vibration testing. The thing that I'm worried about is I couldn't get a reflex from the L leg, which is the foot with the bigger HAV.
Is is worth referring her for surgery? Are there any further neurological tests I can do to find out more?
And am I missing something?
Please any info would be great
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