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HPI
A 47 year-old male presents with chronic left foot pain and a flatfoot deformity. He attempted shoewear modifications, physical therapy, and custom orthotics (including medial posting with medial arch support) for an extended period of time. Despite this symptoms remain severe.
PMH
Unremarkable
PE
On physical exam on the left foot there is a pes planovalgus with "too many toes" sign. He is unable to perform a single leg heel rise on the affected side. The deformity is passively correctable. He otherwise has good strength. His neurovascular exam is normal.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
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Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Earn 0.5 Free CME Credits for each poll by adding a PubMed article to support you clinical decision.
Mediallizing calcaneal osteotomy, 1st metatarsal dorsal opening wedge osteotomy, temporary pinning of reduced talonavicular joint, spring ligament repair, posterior tibialis tendon advancement (in lieu of FDL transfer)