Hi
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10 year old patient presented today with pain starting at the base of his hallux nail. Duration 5 years (started age 6), wakes him up during night eased by dad massaging. Pain can radiate up anterior shin. Not associated with increased activity, started with pain only at rest but can occur now during the day.
Child has general good health, xray NAD. Dynamic examination indicated early heel lift with adctuctory twist and apropulsive. static examination = functional hallux limitus. good strength in flexor & extensor hall long. No pain on examination of MtPJ's, no crepitus.
Any ideas??????????
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