I had a woman bring in her 5 month old son because she was concerned his feet were 'turning in' and the maternal nurse thought it would be best to get a podiatrist's opinion. An Ax showed FF adduction, convex lateral border, prominant styloid, big gap b/w 1st and 2nd toes and normal AJ ROM. L>>R.
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My prelim diagnosis is semi rigid met adductus. I have read literature claiming most kids grow out of it but I also read that the deformity can become increasingly resistant to conservative Tx if not treated in the first few months of life.
Plaster/serial casting is mentioned quite frequently and I was wondering who would perform that? We certainly weren't taught that at uni. Otherwise, is stretching and manipiulation the only way to go? He is not wearing shoes yet
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