KIDS’ FEET: PODOPEDIATRICSDr. Dennis R. Frisch561-395-4243

OUTLINE Growth, Anatomy, and Development Common Conditions at Birth Common Early Childhood Conditions Treatment Methods Common Nail and Skin Conditions Conditions Affecting Growth Centers Common Injuries Other Issues

GROWTH, ANATOMY, AND DEVELOPMENT

At birth, an infant’s legs are rotated outward.

At birth, a child’s legs are relatively short when compared to the overall length of the body.

GROWTH, ANATOMY, AND DEVELOPMENT

As growth occurs, the femur (thigh bone) and the tibia (lower leg bone) untwist.

Foot growth from birth until age two is fairly rapid. Feet double in length from birth to age four.

GROWTH, ANATOMY, AND DEVELOPMENT At birth, there are relatively few bones in the

foot. With maturity, new areas of growth appear.

Every newborn should be examined carefully in the hospital for any potential foot or leg problems.

Another examination of the feet and legs should be done at 4-6 months of age.

GROWTH, ANATOMY, AND DEVELOPMENT Most children walk unassisted by 10-18

months.

Most conditions associated with flat feet, bowlegs, knock knees, leg length differences, and ankle problems become obvious with standing.

GROWTH, ANATOMY, AND DEVELOPMENT Final bone development can be determined

by gender, heredity, and the nature of the child’s foot structure.

Annual visits to the podiatrist will help identify and allow treatment of most conditions.

COMMON CONDITIONS AT BIRTH Club foot Reverse club foot (Calcaneal valgus) Rocker bottom foot Metatarsus adductus (turned-in foot)

COMMON CONDITIONS AT BIRTH Overlapping toes Webbed toes (Syndactyly) Extra toes (Polydactyly) Long toes or short toes

COMMON EARLY CHILDHOOD CONDITIONS In-toeing (Pigeon-toed) Out-toeing (Duck or Slew-footed) Bowlegs/Knock knees Hyper-extension of the knees Leg length differences

COMMON EARLY CHILDHOOD CONDITIONS Tight heel cord (Equinus) Night cramps Low-arched feet (Flat footed) High-arched feet

TREATMENT METHODS Shoes and shoe therapy Orthotics Possible surgical options

COMMON NAIL AND SKIN CONDITIONS Nails Warts Foreign bodies Fungus infections Contact dermatitis

COMMON NAIL AND SKIN CONDITIONS Impetigo Eczema Psoriasis Foot odor Corns and calluses

CONDITIONS AFFECTING GROWTH CENTERS Osgood Schlatter’s disease Kohler’s disease Freiberg’s disease Sever’s disease

COMMON INJURIES Fractures, dislocations, and sprains Overuse injuries to the knee

(Chondromalacia) Shin splints Achilles tendonitis

OTHER ISSUES Juvenile bunions Hammertoes Medial pinch callus of the great toe Tailor’s bunion Accessory bones Ganglions and cysts

CONCLUSION Your child’s feet must last a lifetime Treat problems now Visit your podiatrist

Dr. Dennis Frisch561-395-4243

30 SE 7th StBoca Raton, FL 33432

www.bocaratonpodiatry.combrpod@bellsouth.net