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Pediatric Foot Disorders: Congenital Abnormalities


Introduction

The congenital abnormalities covered in this chapter are: metatarsus adductus, skew foot, congenital clubfoot, calcaneovalgus foot, vertical talus, and tarsal coalition.

Metatarsus Adductus

In this deformity the forefoot is medially deviated relative to the hind foot. (Figure 2) This deformity is also frequently termed metatarsus varus.

Skew Foot

Patients with this rare foot deformity appear to have a combination of metatarsus adductus and a severe flat foot (Figure 4).

Congenital Clubfoot

The clubfoot deformity consists of adduction of the forefoot, varus of the heel, equinus of the ankle, and an inward rotation of the foot (Figure 6). The deformity can be present at birth in association with conditions such as spina bifida or develop after birth in association with conditions such as cerebral palsy. When it is present at birth as an isolated problem, it is known as congenital clubfoot or idiopathic talipes equinovarus.

Calcaneovalgus Foot

This, the most common congenital foot deformity, is an abnormality characterized by heel valgus and dorsiflexion of the foot.

Vertical Talus

Patients with this deformity have feet that are either convex in a plantar direction or rocker bottomed (Figure 18).

Tarsal Coalition

When two or more tarsal bones are congenitally joined together, a tarsal coalition is said to exist. The connection may be fibrous, cartilaginous or bony.


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