Module 23, General Orthopaedist Level

This a 13 year old white female complains of left foot pain. The pain has been present for approximately 2 years. There is no specific history of a traumatic event. The pain is primarily at the lateral aspect of the foot and is worse at the end of the day. The pain is somewhat relieved by rest. The left foot is without swelling. It is tender in the anterolateral aspect of the foot. Ankle motion is normal. Subtalar motion is significantly limited.

Question 23A

The history is consistent with the x-ray findings.

Question 23B

The incidence of bilaterality is approximately 50 %.

Question 23C

Since many adults with this condition are asymptomatic, the first line of treatment should be conservative measures.

Question 23D

Spasm of the peroneal muscles is often observed in this condition.

Question 23E

A triple arthrodesis is a good treatment for this patient.