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
1.Hindfoot – talus,
calcaneus
2.Midfoot – navicular,
cuboid, cuneiforms
3.Forefoot –
metatarsals and
phalanges

Warts (Verruca)

Ingrown Toenails

Athletes Foot

Heel Pain

Sprains & Fracture

Growing Pains???
Cause: HPV virus
Treatment:
Debridement and Acid
Therapy
Pain with Drainage (Pus)
Causes: Tight Shoes, Trauma,
inherited
Treatment: Removal and
Antibiotics
Causes: Fumgus
Likes to grow in Dark and Moist
places (ie Shoes)
Treatment: Topical Antifungal




Calcaneal apophysitis.
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
Causes: Slip and fall, sports, playing
Treatment: Immobilization to Surgery Depending on severity
Anatomy/Terminology
• Varus/Valgus
Calcaneovalgus foot
Talipes Equinovarus (congenital clubfoot)
Different Treatments
Pes Planus (flatfoot)
Pes Planus (flatfoot)
A. 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?
In-Toeing
A. General
- common finding in newborns and children
- little evidence to show benefit from treatment
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
In-Toeing
(i) metatarsus adductus
- General
• normal hindfoot,
medially deviated
midfoot
• diagnosis made if
lateral aspect of foot
has “C” shape, rather
than straight
In-Toeing
(ii) Internal Tibial Torsion
• usually presents by
walking age
• knee points forward,
while feet point
inward
In-Toeing
(iii) Excessive Femoral Anteversion
• both knees and feet
point inward
• presents during early
childhood (3-7yrs)
• most common cause
of in-toeing
In-Toeing
(iii) Excessive Femoral Anteversion
• int rotation 70-80 deg
ext rotation 10-30 deg
• “W” position


Custom orthotics &
Bracing to correct
or aid in the
deformity
correction
Surgical
Intervention

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



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.