Foot Problems Flashcards
(26 cards)
three causes of intoeing
femoral neck anteversion
internal tibial torsion
metatarsus adductus
femoral neck anteversion- how does it normally sit?
the femoral neck normally points anteriorly to the femoral condyles at the knee, so is this condition it is pointed posteriorly
presentation of femoral neck anteversion
child sits in W position
what can femoral neck anteversion predispose to?
patellofemoral problems
management of femoral neck anteversion
no surgery
internal tibia torsion
this is inward twisting of the tibia
common age presenting with internal tibia torsion
1-3 years, most resolve by 6
common clinical sign of internal tibial torsion?
foot sits outwards of hip when kneeling
metatarsus adductus
front half of the foot is inverted inwards
benign and resolves
what might help metatarsus adductus?
serial casting
is everyone born with flat feet?
yes but the medial arch develops once walking begins as the tibialis posterior strengthens
presentation of flat feet
asymptomatic usually
management of flat feet
stretching
pathologic flat feet
underlying bony connection, the tarsal coalition
may benefit from surgery if painful
common sites of curly toes?
3rd and 4th toe
when do most curly toes resolve
by 6
what to consider if curly toes are persistent
flexor tenotomy
define club foot (talipes equinovarus)
congenital deformity with abnormal alignment of joints between talus, calcaneus and navicular
what does the abnormal alignment of joints in club foot result in?
contractures of soft tissue resulting in deformity consisting of ankle equinus, supination of forefoot and varus alignment of the forefoot
management of club foot
early splintage using Ponseti technique
held in plaster casts with 5 or 6 weekly cast changes
80% require tenotomy of Achilles tendon for full correction
once full correction child is placed in a brace consisting of a boots attached to a bar which is worn 23 hours a day for 3 months and then used during sleep until 3-4 years to prevent reoccurrence
delayed presentations need extensive surgery
hallus valgus
medial toe deviation
cavus feet
abnormally high arch
hypermobility diagnosis
Beighton score 9/9
define rockerbottom foot (congenital vertical talus)
prominently heel and rounded sole
