FELLOW CHALLENGE OF JULY-AUGUST 2005: Feet Galore
In caring for children with rheumatic disease, it is often
necessary to evaluate a child’s foot and lower leg for inflammatory and non-inflammatory
problems. To do so, it is important to have an understanding of common foot
problems in children. In some ways we have to be part-orthopedist and
podiatrist. The quiz is designed to improve your recognition of these syndromes
and increase your interest in foot problems in general.
1. What is this foot condition?
___________________________________
a. tarsal coalition
b. peroneal spastic flatfoot
c. severe flexible flatfoot
2. What is this sign of tarsal coalition?__________________________________
a. C sign
b. halo sign
c. both
3. What does this child have?__________________________________________
a. Talipes calcaneus varus
b. severe flexible flatfoot
c. vertical talus (rigid convex pes
planus valgus)
4. What does this child have?______________________________________
a. posterior facet subtalar joint coalition
b. peroneal spastic flatfoot
c. Down’s
syndrome child with severe flexible flatfoot
d. severe subtalar disease in JIA
5. This teen has a tarsal coalition Which type?____________________________________
a. Posterior facet coalition
b. Calcaneal
navicular tarsal coalition
c. Middle facet subtalar joint
coalition
6. What is this foot condition?____________________________
- club
foot
- metatarsus
varus
- peroneal spastic foot
- hallux valgus
7. What is this type of tarsal coalition?________________________________
a. Posterior facet coalition
b. Calcaneal
navicular tarsal coalition
c. Middle facet subtalar joint
coalition
8. What is the matter with these feet?_______________________________
a. hallux valgus
b.
metatarsus varus
c. Morton’s toe
d. psoriatic arthritis
9. What does this teen have?
a. tarsal coalition
b. JIA
joint destruction
c. pathologic fracture in a JIA patient
d. metastatic osteogenic sarcoma
Please send your answers to Linda Wagner-Weiner at lww@uchicago.edu.