Kevin
I'm most grateful for the opinion. This morning was the first opportunity I
have had to look at these images and I agree with Jeff insomuch as the
talus appears anteriorally displaced and does not appear to have congruity
within the ankle mortice. I am not so sure about CCPV though. Would there
not be an obvious abnormality with the rearfoot/forefoot relationship if
pes valgus was present? I'm aware that the abundance of infant adipose
tissue can mask a great deal but the foot does appear 'normal' to me. It's
just that the ankle is fixed. If it would help I'll try and arrange some
digital photographs early next week so you can see for yourself? In the
meantime I take it you would agree that we do not initiate any manipulation
until we establish the exact pathology?
Kind regards
Mark Russell
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