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) Gujral2163 Oak Tree Road, Suite 108Edison, NJ(732)
2 Anatomy/Terminology 3 main sections Hindfoot – talus, calcaneus Midfoot – navicular, cuboid, cuneiformsForefoot – metatarsals and phalanges
3 Most Common Foot Problems Warts (Verruca)Ingrown ToenailsAthletes FootHeel PainSprains & FractureGrowing Pains???
4 Plantar WartsCause: HPV virusTreatment: Debridement and Acid Therapy
5 Pain with Drainage (Pus) Causes: Tight Shoes, Trauma, inheritedTreatment: Removal and Antibiotics
6 Athlete’s Foot (Tinea Pedis) Causes: FumgusLikes 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
14 Pes Planus (flatfoot) General - refers to loss of normal medial long. arch- usually caused by subtalar joint assuming aneverted position while weight bearing- generally common in neonates/toddlersB. Evaluation- painful?- flexible? (hindfoot should invert/dorsiflexapprox 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 examC. 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 deviatedmidfootdiagnosis made iflateral aspect of foothas “C” shape, ratherthan straight
18 In-Toeing (ii) Internal Tibial Torsion usually presents by walking age knee points forward,while feet pointinward
19 In-Toeing (iii) Excessive Femoral Anteversion both knees and feet point inwardpresents during earlychildhood (3-7yrs)most common causeof in-toeing
20 In-Toeing (iii) Excessive Femoral Anteversion int rotation 70-80 deg ext rotation deg“W” position
21 Treatment OptionsCustom orthotics & Bracing to correct or aid in the deformity correctionSurgical Intervention
22 Our Services On-Site Digital X-ray Diagnostic Ultrasound On-site Physical Therapy for faster rehabCustom OrthoticsMini Procedure roomSame 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 activityWe look forward to being an extension of your practice in the treatment of mutual patients.