Gastrocnemius Tightness and Foot Pain in Children
Foot and leg pain among otherwise healthy children is a common reason for referral to our pediatric orthopaedics outpatient clinic. The pain is often intermittent and transient, but for some the pain is more dominating and has an impact on the child and families. Children grown and have normal anatomical variations suc
| Condition(s) | Child Development, Gastrocnemius Equinus |
|---|---|
| Status | Recruiting |
| Study type | Observational |
| Summary | Foot and leg pain among otherwise healthy children is a common reason for referral to our pediatric orthopaedics outpatient clinic. The pain is often intermittent and transient, but for some the pain is more dominating and has an impact on the child and families. Children grown and have normal anatomical variations such as in-toeing, out-toeing, hypermobility, flatfeet, knock knees etc. Assessing such normal variants is a major part of pediatric orthopaedic practice, and a common finding is a positive Silvferskiöld test, indicating gastrocnemius tightness. This is when dorsiflexion of the ankle is limited with extended knee, compared to flexed knee. We do not know if this is a more frequent finding among children with foot and leg pain. There is however evidence that adults with painful fo |
| Who can participate | Inclusion Criteria: * Otherwise healthy children referred to pediatric orthopaedic outpatient clinic with foot and/or leg pain with a normal leg function Exclusion Criteria: * Patients with foot conditions, general medical conditions affecting the foot or clinical findings indicating a need for further investigation for a diagnosis. Such as: Foot deformities (cavo-varus foot, clubfoot) Tarsal coalitions Neuro-orthopedic conditions (CP, MMC) Fracture sequelae Infections and tumour |
| Ages | 4 Years to 16 Years |
| Sex | All |
| Lead sponsor | St. Olavs Hospital |
| Locations | Trondheim, Norway |
| Start date | 2023-05-09 |
| NCT ID | NCT05862246 |
| Official listing | https://clinicaltrials.gov/study/NCT05862246 |