![]() Motor examination showed 4/5 strength on eversion and plantarflexion, and the sensory examination was intact in all distributions. Ankle range of motion was 0 degrees dorsiflexion to 40 degrees plantarflexion with no ankle instability, and subtalar motion was 5 degrees eversion to 25 degrees inversion. On physical examination of the left ankle, she had lateral ankle tenderness. Despite these interventions, she complained of debilitating bilateral lateral ankle pain. Her past surgical history included bilateral calcaneonavicular coalition excision, left lateral column lengthening, and left Achilles tendon lengthening. She had a history of painful bilateral congenital pes planus, which was managed unsuccessfully with years of physical therapy and orthotics. The patient is a 17-year-old girl who presented with bilateral foot and ankle pain, left more severe than the right. ![]()
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March 2023
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