Pediatric Orthopedics

Question 1

FLAT FOOT

Answer 1

Arch starts to form around age 4

PE: flexible…make sure no tight Achilles. Windlass effect= push on big toe and see arch form

Question 2

CALCANEAL APOPHYSITIS (Sever’s Disease)

Answer 2

Heel pain associated with overuse
Late childhood –onset in girls sooner than boys
Clinical Dx – squeeze test
TX: Rest – heel pad –Achilles stretching – anti-inflammatories

Question 3

Overuse injuries in general

Answer 3

Adults – musculo-tendinous junction

Children – bone tendon junction