Brand new with box Size 4 Color- Berry Specially designed to accommodate orthotics such as AFOs, SMOs and custom insoles, The Dean Adapt high top sneaker is customizable for any child. Extra-long straps fit around orthotics but can also be cut to fit. A removable insole provides extra space if needed. The sneaker opens super wide and stays open thanks to the oval ring design. Order one size up if wearing with orthotics/AFOs. Mesh upper is lightweight and flexible Soft mesh lining is sensory friendly Deep toe box lets little toes wiggle and flex, which builds strength Herringbone lug pattern provides great traction for play Double hook and loop strap is customizable Machine Washable Awarded the Seal of Acceptance from the American Podiatric Medical Association (APMA) Vegan