HI All
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I am a student trying to figure out what to do with a petite active female patient in her early 20's who has: short first ray (very short!) and grade 1 HAV that is prominent, but reducible.
her rearfoot is rectus, and she doesn't appear to pronate too much, her COP moves through her 2nd toe, which is very long, but she toes off heavily on all lesser toes- evident by callousing and watching her walk.
she has a LLD of about 12mm and history of lateral ankle instability on her short leg (which I can understand)
mostly I'm wondering if a basic first ray function accommodation (morton's extension) would be enough to deal with the reducible HAV? Should I also be trying to invert the heel a little to redirect the STJ? and then stabilising lateral side and obviously adding a raise to the short leg...
TIA!
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