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!!!!!!