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- W2022703183 abstract "530 HISTORY - A 12-year-old male baseball catcher complains of insidious onset of bilateral foot pain with activity. The player stated both feet hurt during play and after. The parents noticed a flat foot gait while running. The player felt the could not run as well as his peers on his team. PHYSICAL EXAMINATION - BACK EXAM - the spinous processes were midline, forward flexion revealed no scoliosis, no tenderness noticed to paraspinous musculature, tight hamstrings were noticed when he was asked to touch his toes. LOWER EXTREMITIES - standing posture revealed mild genu valgus, pes planus bilaterally, no excessive femoral anteversion, reflexes appeared to be normal. FOOT EXAMINATION - Standing exam revealed heel valgus, no forefoot adductus, mild peroneal tendon tightness laterally, pain to palpation to sinus tarsi, rigid subtalar motion to both feet, no restriction of plantarflexion but tightness noted to both heel cords with the knee extended with passive dorsiflexion only to neutral. Sensory examination and manual muscle testing to both feet were normal. DIFFERENTIAL DIAGNOSIS: Sinus Tarsi Syndrome both feet. Charcot-Marie Tooth Disease Bilateral Tarsal Coalition. Peroneal tendinitis. TEST AND RESULTS: Radiographs both feet demonstrated bilateral tarsal coalition. No further work-up performed. FINAL WORKING DIAGNOSIS: Bilateral tarsal coalition. TREATMENT: Stretching and flexibility exercises. Bilateral shoe inserts. NSAIDS Return to play when comfortable. Informed the parents and player about surgical intervention and further studies, i.e. MRI if symptoms worsened." @default.
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- W2022703183 date "1998-05-01" @default.
- W2022703183 modified "2023-09-24" @default.
- W2022703183 title "BILATERAL FOOT PAIN - BASEBALL" @default.
- W2022703183 doi "https://doi.org/10.1097/00005768-199805001-00530" @default.
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