Podiatry Arena members do not see these ads

Hi

In the absence of neurological disorders how prevalent is this?

I have seen a patient c/o pain in 4th met with some dorsal oedema.

female 20's

Normal childhood milestones

All vaccinations

Mother says no history of high arched feet or floppiness!!

H/o stress fracture 2008 - untreated by previous podiatrist.

XRAY WB and NWB - show healed 2nd met stress fracture. No obvious fracture. Confirms unilateral high arch. (i have not seen the xray as yet)

Ligament laxity -elbows/knees etc

genu recurvartum

genu valgum

Recently started running as Obese - mild pain prior to this but obviously worse now

Lower back pain. (Not convinced all normal here) I have advised them to ask physio to review this

Legs seem to have champagne flute appearance but this is both legs.

I obviously have a few suspicions here but dont want to jump the gun or unduly concern anyone.

Thoughts and opinions would be good. I will be seeing them again within the next week or so

Be gentle please!! Tried to remember as much as i can

Tweet

Share

Related thread:
Other threads tagged with pes cavus

__________________
Are you addicted to Podiatry Arena?
Have you added your location to the map? (Map FAQ's)
Earn CPD Points

If the 4th metatarsal is painful, then what pathologies could it be?
If she's had a previous stress fracture, i'd be thinking another stress fracture. Xrays can be inconclusive for a few months.

From the info you've given, i'd put her in an aircast for a few weeks and let it calm down. Long term- once its healed, custom orthotic with modifications to reduce bending forces on metatarsals.

What are your suspicions? Neurological conditions? CMT?

__________________
Phil Marshman
Mackay, Queensland Australia