Pediatric Foot and Ankle, Hammertoes, Mallet Toes - Dr. Jeffrey E McAlister

Pediatric Foot and Ankle, Hammertoes, Mallet Toes

Other Foot & Ankle Conditions

Here are some other common foot and ankle conditions that Dr. McAlister sees regularly in his practice and has expertise in treating.

Pediatric Foot & Ankle Deformities

Pediatric foot deformities include a range of conditions that affect the bones, tendons, and/or muscles of the foot. The most common pediatric foot and ankle conditions include:

  • Cavus Foot – Where there is an excessive high arch and the heel is turned inward. This condition is typically the result of Charcot-Marie Tooth disease, which is a hereditary disorder in which the speed of nerves slows over time causing weakness of the distal muscles of the hands and feet.
  • Tarsal Coalition – An abnormal connection between the bones in the midsection and back part of the foot. This condition is typically diagnosed in late childhood or early adolescence, as this is when the coalition begins to limit foot movement and cause pain and possibly stiffness.
  • Clubfoot – A condition where one or both feet are turned inward and pointing down. This is diagnosed at birth and develops in utero.
  • Accessory Navicular – The presence of an extra bone growth center on the inside of the navicular and within the posterial tibial tendon that attaches to the navicular. The navicular bone is a boat-shaped bone located in the top inner side of the foot. This condition is present at birth. The main symptoms are pain and tenderness.
  • Juvenile Bunion – More common in girls than boys, this type of bunion happens in children who are loose-jointed. In a juvenile bunion, the joint at the base of the big toe moves out of alignment angling the big toe inward toward the second toe.

There are both non-operative and operative approaches to pediatric foot deformities. Of special importance with pediatric treatment for the foot and ankle is preserving the integrity of the growth plate and maintaining continued growth and development of the foot.

Hammertoe and Mallet Toe

A hammertoe has an abnormal bend in the middle joint of a toe. Conversely, mallet toe affects the joint nearest the toenail. Hammertoe and mallet toe usually occur in your second, third and fourth toes. These are foot deformities that happen because of an imbalance in the muscles, tendons or ligaments that normally hold the toe straight. Contributing factors include the type of shoes you wear, foot structure, trauma and certain disease processes that contribute to their development.

Diabetic Foot

People with diabetes are prone to problems with their feet. The two main areas of concern are:

  • Diabetic Neuropathy – Nerve damage that makes it hard to feel sensation in the extremities. This lack of awareness increases the risk of cuts, sores and blisters on the feet.
  • Peripheral Vascular Disease – Changes in the blood vessels can occur with diabetes. In peripheral vascular disease, fatty deposits block the vessels beyond the brain and heart and can affect the vessels to and from the extremities. This results in reduced blood flow to the feet and hands.

External Fixation of the Foot & Ankle

External fixation is used to reduce strain on nerves, improve healing in surgical treatment of foot and ankle injuries and deformities and reduce tissue damage. Fixation is often used in situations of foot and ankle trauma, reconstruction surgery and revision surgery.

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