PEDIATRIC Section 13: MSK (FEET) Flashcards
Talipes =
Congenital
Pes =
Foot or acquired
Equines =
Planta flexed ankle
Heel Cord is often tight and the hell won’t touch the floor
Calcaneus
Opposite of Equines. The calcaneus is exactly angled up
Varus =
Forefoot in
Valgus =
Forefoot out
CAvus =
High ArchP
Planus =
Opposite of Cavus
“bizarro cavus” - FLAT FOOT
Supination
- Inward roation -
“Sole of foot in - holding “S” soup with the bottom of your foot
Pronation
Outward rotation
The sole of foot out
Types of Flat foot (Pes planus)
This can be congenital or acquired. The peds section will cover congenital and the adult MSK section will cover acquired.
Flat foot (Pes Planus) can be grouped into?
Flexible or Rigid (flexible more common in kids)
Rigid congenital Flat doot can be divided into?
Tarsal Coalition
Vertical Talus = Hindfoot valgus
Two Types of Tarsal Coalition? (Pes planus -rigid)
i) talus to the calcaneous
ii) calcaneus to the navicular
Talocalcaneal Coalition:
- Occurs at the middle facet.
- “Continuous C-sign ” produced from an
“absent middlefacet”
on the lateral view. - Talar beak (spur on the anterior talus - white arrow) - seen in 25% of cases.
Calcaneonavicular Coalition:
- Occurs at the anterior facet.
- Has the “anteater sign ”
Where the elongated anterior process of the
calcaneus resembles the blood thirsty nose of a ravenous ant eater.
This is best seen on an oblique view.
“rocker-bottomfoot”
Vertical Talus (equinus hindfoot valgus)
talus is in extreme plantar flexion with dorsal dislocation of the Navicular - resulting in a locked talus in plantar flexion.
Vertical Talus (equinus hindfoot valgus)
Vertical Talus (equinus hindfoot valgus)
this is often associated with myelomeningocele.
Vertical Talus (equinus hindfoot valgus)
Congenital Plantar Flexed Ankle Forefoot.
Club Foot (Talipes Equino Varus)
- Flindfoot varus (decreased talocalcaneal angle)
- Medial deviation and inversion of the forefoot
- Elevated Plantar Arch
Club Foot (Talipes Equino Varus)
The most common surgical complication of Club Foot (Talipes Equino Varus)
over correction resulting in a “rocker bottom” flat foot deformity.
Hindfoot Valgus and Hindfoot Varus familty Tree
