Congenital F&A

Question 1

Congenital Vertical Talus - Foot deformity? - Bony deformity? - Tx?

Answer 1

• Rocker Bottom Foot - Dorsal d/l of talonavicular joint — Hindfoot equinovarus, forefoot abduction and dorsiflexion - Tx: 1. Casting to stretch dorso-lateral soft tissues prior to surgery 2. Talonavicular pinning and achilles lengthening

xrays shows nonreduced talus with plantarflexion

Question 2

Difference in congenital vertical talus and oblique talus?

Answer 2

oblique vertical talus reduces with plantarflexion - tx with casting and obs

Xrays showing oblique talus reduced with plantarflexion

Question 3

When does navicular osssify?

How can you tell if vertical talus reduces if navicular not ossified?

Answer 3

3 yrs old

• 1st MT is surrogate for Meary’s Angle evaluation