Foot Deformaties

A brief definition on each foot deformatity we have to know for are Professional Studies Exam

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Overlapping

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A toe that goes over the top of an adjcent toe

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Polydactyly

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An supernumberatory digit

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Syndactyly

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Webbed Toe

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Adducto Varus toes

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Toes that migrate to the midline of the body

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Hallux Varus

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Hallux migrates to midline of body

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Macrodactyly

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enlargement of one or more toe

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Microdactyly

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Isolated deformatity of lesser toes

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Brachymetatarsia

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Shortening of one or more metatarsal

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Accessory Tarsal Navicular

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Def:

A small accessory bone found in the mid foot.

effects 10% of all human beings can effect dynamic support of longitudual arch

treatment is often a plaster cast and excision if required,

aims to reduced pressure point if painful.

Footwear advice

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Talipes Calcaneovalgus

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Def:dorsiflexion and eversion of entire foot

30-50% foot deformaties at birth

Plaster cast and stretching excercises

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Postural Metatarsus Adductus

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Forefoot adducted when hindfoot neutral

Spontaneous correction

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Talipes Equinovarus/ Clubed foot

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Heel inverted, forefoot and midfoot inverted and adducted.

Foot has a club foot apperance rocker bottom and lateral malleolus is very promenant

Unknown cause

Genetic

1-2 per 1000 births

50% bilateral

65% male

AIm: painless, Surgery, resolves with walking

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COngential convex pes valgus

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Primary dorsal and lateral dislocation of talocalcanonavicular joint, navicular locks talus into a vertical plantar-flexed position

Bilateral in 50% of cases

2-4 in every 1,000 births

imaging xray

Surgery

manipulative stretches and casting

excision

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Tarsal coalition

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Congential bridging of 2 or more tarsal bones, deep pain.

0.03-0.4% of population

No gender preferance

Often Bilateral

X-ray-both feet

C.T.

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Synostosis

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Bony coalition

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cartilagenous coalition

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Synchondrosis

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Syndesmosis

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Fibrous coalition

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Talipes Calcaneo Valgus

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Total subtalar foot abduction and dorsiflexion

Metatarsals in valgus

mid dorsiflexion

Conservative treatment

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Flexible Flat foot

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The flattening of the medial longitudinal arch on weight bearing

Rarely causes disability or pain

Arch developes between 4-7 years of age

10-23% of adults remain to have flat foot

Investigate pain

TA stretches, supportive footwear

Reassurance

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Stew foot

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Z shaped foot

Difficultly with footwear

X-ray

Surgical

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Metatarsus Adductus

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Medial deviation of forefoot

3% of births

Bilateral

87% resolves by age of 6

95% resolves by age of 16

intoeing after walkign age

x-ray

Flexible/rigid

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