Jeff
No, I cannot be certain having only examined the child once. I will need
to bring her in again over the next few days to establish whether it is
indeed ankle motion or as you suggest ST or mid-tarsal movement. Likewise
with calcaneal inversion/eversion. Clinically it is difficult to establish
accurately what the ROM at particular joints actually is in an infant of
this age where development of the osseous centres are still in their early
stages, but my initial impression was that there was some movement at the
ankle joint although it was severely retarded and beyond that, fixed. I
will report back when I have carried out a more thorough examination.
Thanks for your input.
Sincerely
Mark Russell
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