Jeff & Colleagues
I have now had a chance to examine baby Emma once more. Jeff your intuition
was spot on. There is no ankle movement and what I thought was ankle ROM
was in fact mid-tarsal motion. Further I cannot manage to elicit any
calcaneal inversion or eversion whatsoever. What I also missed during the
intial examination was that there does not appear to be a medial malleolus -
although I can palpate the distal end of the tibia. Compared to the left
ankle the malleolus is absent. I have now obtained the original
radiographic plates but they have been forwarded to me on CD-ROM and
unfortunately my machine cannot read them. I have sent them to Simon and
Craig and perhaps they will be kind enough to upload them for your
appraisal. I look forward to your comments.
Kind regards
Mark Russell
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