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Common Pediatric Foot Deformities Affiliated Foot & Ankle Center, LLP

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Presentation on theme: "Common Pediatric Foot Deformities Affiliated Foot & Ankle Center, LLP"— 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 Hindfoot – talus, calcaneus
Midfoot – navicular, cuboid, cuneiforms Forefoot – metatarsals and phalanges

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

4 Plantar Warts Cause: HPV virus Treatment: Debridement and Acid Therapy

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

6 Athlete’s Foot (Tinea Pedis)
Causes: Fumgus Likes to grow in Dark and Moist places (ie Shoes) Treatment: Topical Antifungal

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

8 Sprains and Fractures 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 Pes Planus (flatfoot) 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 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 metatarsus adductus - General medially deviated midfoot
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 70-80 deg
ext rotation deg “W” position

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

22 Our Services 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 Take Home Points 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.

24 Thank You!!!!!!

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