Hi Pat,

Thanks for adding the rads.

There is no bony column rotation but there is a slight bit of capsular rotation - which is a trim issue due to her much-too-long toes. Heels are underrun as well. There appears to be some sinking, which goes along with the thin soles. Some arthritic changes on P2 as well.

Until the trim gets optimized, I wouldn't recommend formal exercise as it is going to exacerbate the pull on the laminar connections from the long toes, causing more damage.

Definitely should keep her in padded boots until the sole depth increases, which won't happen until the toes are shortened.

Sorry, but I don't see a 10-26 case history for her in your file.

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Lavinia, George Too, Calvin (PPID) and Dinky (PPID/IR)
Nappi, George and Dante Over the Bridge
Jan 05, RI
Moderator ECIR