PEDIATRIC Section 13: MSK (FEET)

Question 1

Talipes =

Answer 1

Congenital

Question 2

Pes =

Answer 2

Foot or acquired

Question 3

Equines =

Answer 3

Planta flexed ankle
Heel Cord is often tight and the hell won’t touch the floor

Question 4

Calcaneus

Answer 4

Opposite of Equines. The calcaneus is exactly angled up

Question 5

Varus =

Answer 5

Forefoot in

Question 6

Valgus =

Answer 6

Forefoot out

Question 7

CAvus =

Answer 7

High ArchP

Question 8

Planus =

Answer 8

Opposite of Cavus

“bizarro cavus” - FLAT FOOT

Question 9

Supination

Answer 9

• Inward roation -
  “Sole of foot in - holding “S” soup with the bottom of your foot

Question 10

Pronation

Answer 10

Outward rotation
The sole of foot out

Question 11

Answer 11

Question 12

Answer 12

Question 13

Types of Flat foot (Pes planus)

Answer 13

This can be congenital or acquired. The peds section will cover congenital and the adult MSK section will cover acquired.

Question 14

Flat foot (Pes Planus) can be grouped into?

Answer 14

Flexible or Rigid (flexible more common in kids)

Question 15

Rigid congenital Flat doot can be divided into?

Answer 15

Tarsal Coalition
Vertical Talus = Hindfoot valgus

Question 16

Two Types of Tarsal Coalition? (Pes planus -rigid)

Answer 16

i) talus to the calcaneous
ii) calcaneus to the navicular

Question 17

Talocalcaneal Coalition:

Answer 17

• 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.

Question 18

Calcaneonavicular Coalition:

Answer 18

• 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.

Question 19

“rocker-bottomfoot”

Answer 19

Vertical Talus (equinus hindfoot valgus)

Question 20

talus is in extreme plantar flexion with dorsal dislocation of the Navicular - resulting in a locked talus in plantar flexion.

Answer 20

Vertical Talus (equinus hindfoot valgus)

Question 21

Answer 21

Vertical Talus (equinus hindfoot valgus)

Question 22

this is often associated with myelomeningocele.

Answer 22

Vertical Talus (equinus hindfoot valgus)

Question 23

Congenital Plantar Flexed Ankle Forefoot.

Answer 23

Club Foot (Talipes Equino Varus)

Question 24

• Flindfoot varus (decreased talocalcaneal angle)
• Medial deviation and inversion of the forefoot
• Elevated Plantar Arch

Answer 24

Club Foot (Talipes Equino Varus)

Question 25

The most common surgical complication of Club Foot (Talipes Equino Varus)

Answer 25

over correction resulting in a “rocker bottom” flat foot deformity.

Question 26

Hindfoot Valgus and Hindfoot Varus familty Tree

Answer 26