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Treatment for rocker bottom foot

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Is there anything that can be done for a severe rocker bottom foot? Child is 8, spastic diplegia, has heel cord contracture, but has had two heel cord lengthenings. Currently not using AFOs, does have a slight crouch gait was a toe walker before most recent heel cord lengthening. His foot hits the floor flat, but the mid foot then bottoms out and heel lifts during early stance. Is there any way to stretch gastrocs? Rocker bottom foot can occur in a number of situations.
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Treatments for Rocker-Bottom Foot

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Treatments for Rocker-Bottom Foot - Education Resources Mandy Washington

Rocker bottom deformity may occur during the conservative treatment of idiopathic congenital clubfoot. Between and , we treated patients clubfeet conservatively. A total of 23 patients 36 feet; 3. It is these patients that we have studied. The pathoanatomy of the rocker bottom deformity is characterised by a plantar convexity appearing between three and six months of age with the hindfoot equinus position remaining constant. The convexity initially involves the medial column, radiologically identified by the talo-first metatarsal angle and secondly by the lateral column, revealed radiologically as the calcaneo-fifth metatarsal angle.
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Vertical Talus

What is spondylolisthesis? What is osteogenesis imperfect? Learn more about different pediatric orthopaedic problems and conditions. Have a question for our pediatric orthopaedists?
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Unlike the flexible flat foot that is commonly encountered in young children, congenital vertical talus is characterized by presence of a very rigid foot deformity. The foot deformity in congenital vertical talus consists of various components, namely a prominent calcaneus caused by the ankle equines or planter flexion, a convex and rounded sole of the foot caused by prominence of the head of the talus, and a dorsiflexion and abduction of the forefoot and midfoot on the hindfoot. It gets its name from the foot's resemblance to the bottom of a rocking chair.
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