R rockerbottomfoot L shortfemur

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CHERRY KOVOOR

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Dec 4, 2021, 11:32:15 AM12/4/21

to PAED ORTH INDIA

Dear Friends

Kindly advice what could be the diagnosis and what is to be done

6 yr old girl -seen previously by a senior paedorth during infancy

Diagnosed it as Conradi disease[ dysplasia epihysealis punctata/ chondrodysplasia punctata] [Old x-rays attached] with rhizomelic disproportionate shortening of lower limbs left more than right

Full ROM both knees

Now she has LEFT short femur and R foot valgus walking on the medial side of foot

Spine clinically normal so also the skin

Xrays show rocker bottom deformity but no evidence of vertical talus on plantar flexion x-rays. AP view shows foot abducted at midtarsal area

What can be done about the R foot- I was thinking Tendo Achilles lengthening and re aligning the fore foot by Ilizarov distraction. The femur I would correct by femoral and tibial lengthening later

Attaching x-rays and clinical pics

Gait pics at https://youtu.be/PiFwm2XZeFk

Regards

DR CHERIYAN KOVOOR

KOCHI INDIA

esth 18-7-2015AM.jpeg

ESTH 6-7-2015.jpeg

esth feetAP.png

esth pelvis.png

esth R footLAT PF.png

ESTH R footLAT.png

esth1.jpg

esth2.jpg

esth3.jpg

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