Calcaneal valgus. Orthopedic Surgeon Referral
This 5-year-old female has no known allergies. She is not taking any medications, and she is an active community ambulator. She has not had any surgery, and she has previously worn foot orthotics for the past 3 years according to her father. These were made by another company.
The patient presents as a pronator. She has normal tone and no clonus. Her heels are in valgus and correctable. Her forefeet are abducted bilaterally and correctable. Range of motion at the ankles with the knees flexed is +15 degrees, and with the knees straight it is +10 degrees. I think this child will do well in foot orthotics. I think that they will control the calcaneal valgus very adequately. The casting procedure went well. The parents are aware of what to expect as far as design.
Fabricate bilateral foot orthotics upon receipt of a prescription for the physician and upon insurance authorization.
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