Rockerbottom foot / Persian Slipper Foot
Uncommon
50% bilateral
Doesn't delay walking
- may present in toddler with callus under talus head
Congenital anomalies
- CNS disorders
- spina bifida & diastematomyelia ~10%
- arthrogryposis
- neurofibromatosis
Education regarding shoe wear
- extra wide / large toe box
Insoles
- longitudinal arch support
- pre MT dome for metatarsalgia
- podiatry to attend to callosities
Toe spacers
Analgesia
1. Continued pain and discomfort
2. Difficulties with shoe wear
Curves < 20o observation only at 3-6 month intervals depending on growth rate
Never brace curves if patient Risser 4 or 5
1. Risser 0-2 (growth potential)
2. Curve >30o adolescent
3. Curve >25o with progression (5o in six months)