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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

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