Key Insights On Managing Pediatric Equinus With Orthoses

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Robert Bielski, MD, encourages clinicians to narrow down the differential diagnosis of pediatric equinus by asking about the developmental history.
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Author(s): 
Guest Clinical Editor: Edwin Harris, DPM

Attempting to brace equinus in the presence of an inverted rearfoot “cannot possibly work and becomes an exercise in futility for the physician, the orthotist and the patient,” says Dr. Harris. He notes a relative contraindication to orthotic use is that some children with equinus deformity are insensate and may have significant cognitive impairment, conditions that predispose the child to skin breakdown and ulceration.

Dr. Bielski is an Assistant Professor of Orthopedic Surgery at the University of Chicago Comer Children’s Hospital. He is a member of the Orthopedic Society of North America.
Dr. Keen specializes in pediatric physical medicine and rehabilitation.
Dr. Harris is a Clinical Associate Professor in the Department of Orthopaedics and Rehabilitation at the Loyola Medical Center in Maywood, Ill. He is a Fellow of the American College of Foot and Ankle Surgeons.

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