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Common Pediatric Foot Deformities Affiliated Foot & Ankle Center, LLP Dr. Varun (Ben) Gujral 2163 Oak Tree Road, Su

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. Anatomy/Terminology. 3 main sections Hindfoot – talus, calcaneus Midfoot – navicular, cuboid, cuneiforms

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Common Pediatric Foot Deformities Affiliated Foot & Ankle Center, LLP Dr. Varun (Ben) Gujral 2163 Oak Tree Road, Su

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

  7. Heel Pain • Calcanealapophysitis. 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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