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Common Pediatric Foot Deformities

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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 – PowerPoint PPT presentation

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Title: Common Pediatric Foot Deformities


1
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
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
Athletes 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
  • 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 10-30 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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