Foot & Ankle Pain
Foot and ankle pain in children are common.
Key points (and common pitfalls !!)
The photograph shows a non-mobile rigid flat foot. The differential includes tarsal coalition or inflammatory arthritis.
The radiograph below shows fusion of bones between the calcaneum and mid foot (arrow) - this is tarsal coalition but radiographs can be normal (cartilaginous bar may be seen on Computerised Tomography)
The photograph below shows a swollen ankle and tenosynovitis (inflamed tendon sheath) due to Juvenile Idiopathic Arthritis
The photograph shows a flat left foot held in valgus. There is also a swollen left knee, valgus left knee, muscle wasting of left leg quadriceps due to Juvenile Idiopathic Arthritis