Pediatric Considerations

Clin Podiatr Med Surg. 2020 Jan;37(1):125-150. doi: 10.1016/j.cpm.2019.08.001.

Abstract

The article discusses the nuances required to effectively perform the biomechanical examination in children and assess the findings. The author covers several factors in children that make the examination different in certain respects than in that of adults, including growth, osseous maturation, gait development, and interpretation of symptoms as conveyed by the child. Further delineation is made for prewalkers, foot-flat to foot-flat walkers, and heel-to-toe walkers. Segmental review of the lower extremity is covered by age bracket, with clinical pearls inserted where relevant to assist the clinician. A brief discussion of shoe wear and orthoses is made as well.

Keywords: Equinus; Galeazzi; Heel-toe; Hyperpronation; In-toeing; Infancy; Reflexes; Torsion.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Age Factors
  • Biomechanical Phenomena
  • Child
  • Child, Preschool
  • Foot Deformities / diagnosis
  • Foot Deformities / physiopathology
  • Foot Deformities / therapy*
  • Gait
  • Humans
  • Infant
  • Orthotic Devices
  • Patient Selection
  • Physical Examination
  • Shoes