Friday, May 17, 2024

internal rotation deformity

zach harvey

I’m generating ideas on treating an 18 year old post
club foot surgical realignment 6 years ago. When
sitting, ankles invert and forefeet abduct. When
standing, weight is on the lateral side of feet in a
supinated postion. Patient can voluntarily pronate
when standing, but has pain in knees and hips as they
pronate as well. Foot/ ankle complex corrects to
neutral bilaterally, but when corrected, knees and
hips internally rotate. Internal rotation becomes
worse with dorsiflexion. I’m thinking about solid
ankle AFO’s with internal medial posts, but I welcome
other ideas/ past experiences…
Thanks, Zach Harvey, CPO

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