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Left foot

Discussion in 'Spot Diagnosis' started by Andrea, Nov 12, 2012.

  1. Andrea

    Andrea Active member

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    click on thumbnail to enlarge

    2012-11-12 17.43.23.jpg
     

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  2. neo_star

    neo_star Moderator

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    Congenital flat foot

    or

    Lef
    t side Charcot Foot

    or


    congenital hypertrophy of the left foot



    Myxofibroma of foot

    or

    an example of Mosaicism affecting the foot
     

    Last edited: Nov 12, 2012
  3. neo_star

    neo_star Moderator

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    i took a closer look at that image and I guess u r right...the abductor digiti minimi is really huge. So like u said..this could be a case of isolated hypertrophy of the abductor digiti minimi muscle.

    But I think there is slight hypertrophy of other muscles as well. So please take MRI of both feet for a comparison of the other muscles ( although it is only of academic interest ).


    [​IMG]
     

  4. Rocket Queen

    Rocket Queen Super Moderator

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    Maybe Charcot foot
     

  5. Andrea

    Andrea Active member

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    click to enlarge
    hugeAbductordigitiminimi.jpg
    as you can see in this disordered image, the swallen area is interesting only the 5th column side. the diastais between 4th and 5th metatarsal can be easily palpated and it is made of soft tissues. the gray lines drawn from 1 to 4 rays are copy-pasted using mspaint, they have the same measure: this means the lenght is identical for booth feet till the 5th ray: I think this hypertrophy (?) only matters the abdutor digiti minimi and maybee some interosseus muscle.

    This boy is 15 and this condition is congenital. i would exlude charcot. Flat foot is probably present but not inherent with the subject of our studying

    edit: today i asked the boy for a picture of the dorsal aspect of the foot on load (lateral glide of the swallen area could mean soft tissue hypertrophy), as soon as i could view previous doctors enquires i will ask for a MRI.
     

    Last edited: Nov 13, 2012
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  6. dr.angela

    dr.angela Bronze Member

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    Charcot foot
     

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