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A patient visits outpatient clinic with fixed forefoot varus malalignment. What possible compensatory motion might be seen in this patient?

a. Ipsilateral pelvic external rotation
b. Hallux valgus
c. Excessive subtalar supination
d. Ipsilateral lumbar spine rotation

User Norma
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1 Answer

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Final answer:

A patient with fixed forefoot varus malalignment may exhibit compensatory motion such as eversion of the foot, which is mediated by the subtalar joint. This helps maintain stability while walking or standing.

Step-by-step explanation:

A patient with fixed forefoot varus malalignment may exhibit compensatory motion such as eversion of the foot. Eversion involves turning the bottom of the foot away from the midline, in a lateral direction. This motion compensates for the varus malalignment by aligning the foot with the ground and allowing for a more stable base of support.

Eversion of the foot is mediated by the subtalar joint, which is responsible for the inward and outward rolling motion of the foot. In a fixed forefoot varus malalignment, there is excessive supination of the subtalar joint, leading to compensatory eversion of the foot to maintain stability while walking or standing.

The other options listed in the question are not directly related to compensatory motion in fixed forefoot varus malalignment. Ipsilateral pelvic external rotation, hallux valgus, and ipsilateral lumbar spine rotation are not commonly observed compensatory motions in this condition.

User Beertastic
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