I amhoping that someone can help me with this please.
Members do not see these Ads. Sign Up.
A 12 yo male who only plays basketball and does swimming once a week was noted by the shoe shop assistant as having a pronated Left foot. This had never been noted by either parent and the child had never complained of any leg/foot/ankle pain in the past. The mother, hence brought him for assessment.
Initially the child presented with:
Left foot very pronated in the non weightbearing position and on stance it was severe, with "too many toes"sign, total collapse of the mid foot, and abduction of the foot,HK formation on the plantar aspect of the L hallux IPJ.
The only history to mark was a green stick fracture of the left fibula at the age of 3y.
He also has sacral tilt, shoulder tilt and forward head projection, but no obvious leg length discrepancy to note visually. However, measuring the legs gives a distinct discrepancy...the RIGHT being longer than the affected side??!! Yes, we checked it twice.
I thought that this may be a Posterior tibial tendon dysfunction, but in one so young, male and without any trauma history, I am not so sure.
Can any one suggest a differential diagnoses, or anything else I need to test for or may have missed please?
thanks Kym
<
Inter-rater reliability of the Foot Posture Index (FPI-6) in the assessment of the paediatric foot
|
Toe walking 10 y/o
>
<
Inter-rater reliability of the Foot Posture Index (FPI-6) in the assessment of the paediatric foot
|
Toe walking 10 y/o
>
Loading...
- Similar Threads - Unilateral pes planus
-
- Replies:
- 0
- Views:
- 3,679
-
- Replies:
- 24
- Views:
- 8,675
-
- Replies:
- 4
- Views:
- 6,215
-
- Replies:
- 2
- Views:
- 8,165
-
- Replies:
- 1
- Views:
- 855
-
- Replies:
- 0
- Views:
- 1,118
-
- Replies:
- 25
- Views:
- 10,190