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Common Pediatric Foot Deformities Affiliated Foot & Ankle Center, LLP Dr. Varun (Ben) Gujral 2163 Oak Tree Road, Suite 108 Edison, NJ (732) 662-3050 www.footdoctorsnj.com.

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Presentation on theme: "Common Pediatric Foot Deformities Affiliated Foot & Ankle Center, LLP Dr. Varun (Ben) Gujral 2163 Oak Tree Road, Suite 108 Edison, NJ (732) 662-3050 www.footdoctorsnj.com."— Presentation transcript:

1 Common Pediatric Foot Deformities Affiliated Foot & Ankle Center, LLP Dr. Varun (Ben) Gujral 2163 Oak Tree Road, Suite 108 Edison, NJ (732)

2 Anatomy/Terminology 3 main sections 1.Hindfoot – talus, calcaneus 2.Midfoot – navicular, cuboid, cuneiforms 3.Forefoot – metatarsals and phalanges

3 Warts (Verruca) Ingrown Toenails Athletes Foot Heel Pain Sprains & Fracture Growing Pains???

4 Cause: HPV virus Treatment: Debridement and Acid Therapy

5 Pain with Drainage (Pus) Causes: Tight Shoes, Trauma, inherited Treatment: Removal and Antibiotics

6 Causes: Fumgus Likes to grow in Dark and Moist places (ie Shoes) Treatment: Topical Antifungal

7 Calcaneal apophysitis. Also known as Sever's disease, Tendo-Achilles bursitis. (such as juvenile rheumatoid arthritis), or wearing poorly cushioned shoes. rheumatoid arthritis Overuse syndromes.One common overuse syndrome is Achilles tendonitis.Achilles tendonitis Fractures. Sometimes

8 Causes: Slip and fall, sports, playing Treatment: Immobilization to Surgery Depending on severity

9 Anatomy/Terminology Varus/Valgus

10 Calcaneovalgus foot

11 Talipes Equinovarus (congenital clubfoot)

12 Different Treatments

13 Pes Planus (flatfoot)

14 A.General - refers to loss of normal medial long. arch - usually caused by subtalar joint assuming an everted position while weight bearing - generally common in neonates/toddlers B. Evaluation - painful? - flexible? (hindfoot should invert/dorsiflex approx 10 degrees above neutral - arch develop with non-weight bearing pos?

15 In-Toeing A.General - common finding in newborns and children - little evidence to show benefit from treatment

16 In-Toeing B. Evaluation - family hx of rotational deformity? - pain? - height/weight normal? - limited hip abduct or leg length discrepancy? - neuro exam C. 3 main causes (i) metatarsus adductus (ii) internal tibial torsion (iii) excessive femoral anteversion

17 In-Toeing (i)metatarsus adductus - General normal hindfoot, medially deviated midfoot diagnosis made if lateral aspect of foot has C shape, rather than straight

18 In-Toeing (ii) Internal Tibial Torsion usually presents by walking age knee points forward, while feet point inward

19 In-Toeing (iii) Excessive Femoral Anteversion both knees and feet point inward presents during early childhood (3-7yrs) most common cause of in-toeing

20 In-Toeing (iii) Excessive Femoral Anteversion int rotation deg ext rotation deg W position

21 Custom orthotics & Bracing to correct or aid in the deformity correction Surgical Intervention

22 On-Site Digital X-ray Diagnostic Ultrasound On-site Physical Therapy for faster rehab Custom Orthotics Mini Procedure room Same day consulatation report/update for Doctor review

23 Foot pain is not normal Most ailments are easily treatable and can improve patients level of pain free activity We look forward to being an extension of your practice in the treatment of mutual patients.

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