Operative versus nonoperative treatment in children with painful rigid flatfoot and talocalcaneal coalition.

Background: The management of painful rigid flatfoot (RFF) with talocalcaneal coalition (TCC) is controversial. We aimed to compare operative and nonoperative treatment in children with RFF and TCC.

Methods: We retrospectively reviewed medical records and radiographs of children with RFF and TTC treated between 2005 and 2015.

Stress fracture of the fourth metatarsal in a relapsed clubfoot of a 5.5-year-old child.

Stress fractures are uncommon in skeletally immature patients and usually affect adolescents involved in competitive sports, whereas they are very rare in young children. Involvement of the fourth metatarsal is very infrequent and has been associated with metatarsus adductus deformities. The authors describe a stress fracture of the proximal fourth metatarsal occurred in a 5.