Toe to hand transfer query

Anyone been involved with or have opinions on “toe to hand transfer”‘s. Have a patient now; 13 y/o male of Chinese descent ~ 50 kg Chief Complaint (CC) – pt c/o pain, R/plantar 1st MPJ, B/medial plantar midfoot, after prolonged weight-bearing History of Present Illness (HPI) – pain present in similar form since surgery 2003 Past Medical History (PMH) – bilateral 2nd foot digit to R/hand (2003, Childrens hospital, sydney) pt born without R/hand digits (?DD includes Symbrachydactyly, amniotic band syndrome/ring constriction syndrome Physical Exam (PE) – B/F significant scar tissue plantar and dorsum (white scar tissue) Diagnostic Tests – supination resistance VERY HARD; Jack’s test NAD; Lunge test B> 30 degrees Differential Diagnosis – B/ Tibialis Posterior muscle overuse Treatment Plan – increase external supinatory STJ moments (medial heel skive) Any comments appreciated, mark

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Toe to hand transfer query

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