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Orthoses for Juvenile Hallux Valgus

Discussion in 'Biomechanics, Sports and Foot orthoses' started by SDBizz, Mar 14, 2012.

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  1. SDBizz

    SDBizz Member


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    Hi,

    I'm looking to treat a juvenile (14yrs) Hallux Valgus. With limited resources here in Greece I struggle to make custom orthoses, so want to explore the option of ready made with chairside alterations if needed.

    Does anyone know of, or can recommend an insole which may be suitable?

    Thanks

    Sara
     
  2. You might want to lower hallux dorsiflexion stiffness, so something with a kinetic wedge modification might be helpful, you can buy a preform and put a full length top-cover with a kinetic wedge modification on lots and lots of devices.
     
  3. Admin2

    Admin2 Administrator Staff Member

  4. C Johnston

    C Johnston Welcome New Poster

    The thing is , to treat or not to treat. Tim Kilmartin did a fantastic research study into treating hv in the ped patient and basically there was no improvement. Will try and find title of paper. If you want to treat, there is a cast insole from Langer called the DSIS. (dynamic stabilising inner sole). It is smaller than a 3/4 and was devised by Redmond, (I think).
     
  5. RobinP

    RobinP Well-Known Member

  6. I am fully aware of the Kilmartin study. However, the specific type of foot orthoses employed within that study in all probability did not lower the hallux dorsiflexion stiffness. Rather, they probably increased it.

    http://web.jbjs.org.uk/content/76-B/2/210.full.pdf
    http://www.ncbi.nlm.nih.gov/pubmed/1920102
     
  7. SDBizz

    SDBizz Member

    Thank you all for your input. I had a good read of the threads on Juvenile HAV (a section I tried searching for before posting but couldn't find!) which was very helpful. The plan is to proceed conservatively as she isn't experiencing pain, so footwear advice and info on possible treatments including a splint have been given.
     
  8. drsha

    drsha Banned

    Why are none of you mentioning the Subtalar Joint Axis or its rotational equilibrium in constructing or selecting an orthosis here?

    You seem to be focusing on the forefoot?

    Dennis
     
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