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Lateral deviation of toes requires lateral thinking
  1. J Mangalore Devdas1,
  2. Q Campbell-Hewson2,
  3. M Friswell3,
  4. A Gupta4,
  5. T Featherstone5,
  6. A Cooke6,
  7. G DeKiewiet7,
  8. N W Hopper1
  1. 1
    Department of Paediatrics, City Hospitals Sunderland, Sunderland, UK
  2. 2
    Department of Paediatric Oncology, Royal Victoria Infirmary, Newcastle upon Tyne, UK
  3. 3
    Department of Paediatric Rheumatology, Royal Victoria Infirmary, Newcastle upon Tyne, UK
  4. 4
    Department of Paediatrics, University Hospital of North Tees, Stockton on Tees, UK
  5. 5
    Department of Radiology, City Hospitals Sunderland, Sunderland, UK
  6. 6
    Institute of Medical Genetics, Yorkhill Hospital, Glasgow, UK
  7. 7
    Department of Orthopaedics, City Hospitals Sunderland, Sunderland, UK
  1. N W Hopper, City Hospitals Sunderland, Kayll Road, Sunderland SR4 7TP, UK; neil.hopper{at}

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A 21-month-old girl presented with a decreased range of neck movements for 6 months and an ill-defined, firm, 8×4 cm swelling over her right trapezius and occipital region. She also had congenital valgus deformities of her great toes (fig 1).

Figure 1 Valgus deformities of the patient’s great toes.

MRI revealed diffuse infiltration of the muscles of her neck extending …

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  • Funding: None.

  • Competing interests: None.

  • Patient consent: Parental consent obtained.

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