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Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis
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Foot-pain.

F Hefti1

  • 1Kinderorthopädische Universitätsklinik, Universitäts-Kinderspital beider Basel, Germany.

Der Orthopade
|March 2, 2017
PubMed
Summary
This summary is machine-generated.

Pediatric foot pain, often at the heel, can stem from conditions like Sever

Keywords:
Key words Foot-pain • Child • Adolescent • Freiberg's disease • Stress-fracture • Sever's disease

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Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Adolescent Health

Background:

  • Foot pain is a common complaint in children and adolescents.
  • Pain is frequently localized to the heel, with midfoot and forefoot pain being less common.
  • This review focuses on causes of foot pain presenting with a normal clinical appearance.

Purpose of the Study:

  • To discuss the etiology of pediatric foot pain when the foot appears clinically normal.
  • To outline the common causes, diagnostic considerations, and management strategies for such conditions.

Main Methods:

  • Review of common etiologies for pediatric foot pain with a normal clinical presentation.
  • Discussion of conditions including Sever's disease, Freiberg's disease, Köhler's disease, and tarsal coalition.
  • Consideration of less common causes such as stress fractures, infections, and tumors.

Main Results:

  • Sever's disease, linked to overuse and obesity, affects the calcaneal apophysis and typically presents with normal radiographs.
  • Freiberg's disease (avascular necrosis of metatarsal heads) and Köhler's disease (navicular necrosis) are discussed, with conservative treatment.
  • Tarsal coalition can lead to rigid flatfoot, and other differential diagnoses include stress fractures, infections, and tumors.

Conclusions:

  • Several conditions can cause pediatric foot pain despite a normal clinical examination.
  • Management often involves activity modification, supportive footwear, and weight reduction for conditions like Sever's disease.
  • Conservative treatment is standard for avascular necrosis and tarsal coalition, with a broad differential diagnosis for persistent pain.