Pediatric Clubfoot… - Healthcare Professionals

Pediatric Clubfoot…
And a few other things
Richard N. Goad, D.P.M.
• Senior Staff, Pediatric Podiatry,
McLane Children’s Hospital
Scott and White
• Husband, father, nice guy
• Likes kids and bow ties
The Past
The Present
What is a Pediatric
Podiatrist?
•
•
•
•
•
•
Dermatologist
Neurologist
Surgeon
Physiatrist
Psychiatrist
Social Worker
Dermatologist
Neurologist
Surgeon
Physiatrist
Psychiatrist
Social Worker
1. Congenital
2. Developmental
3. Acquired
4. Trauma
5. Infection
Subungual Exostosis
Ignacio Ponseti, M.D.
Ponseti Clubfoot Protocol
•
•
•
•
Weekly serial casting
Achilles tenotomy (if needed)
Shoes and foot abduction brace
Long-term follow-up
Pathoanatomy of Clubfoot
Achilles Tenotomy
Shoes and Foot
Abduction Bar
• Ponseti method of clubfoot
treatment has lowered surgical
treatment to around 5%
The
Juvenile
Bunion
Juvenile Hallux
Valgus
Accessory Navicular
Conclusion
• The child’s foot can appear normal on the
outside, but be abnormal inside
• Being a good detective is important
• Kid’s feet and
ankles are prime
sites for pathology
• I’m so happy I get to
figure out how to fix
them
How can you make a great
referral to Pedi Podiatry?
• Any foot and ankle on any child – inpatient,
outpatient or ER
• Know the severity of the problem –urgent, or
if first available appointment o.k?
• Pre-consult x-rays are o.k., but not required
• Call and discuss with resident or staff if
unsure
Cell – 210-508-0699