mettarasus adductus

Question 1

What is metartarsus adductus?

Answer 1

-Foot deformity, forefoot bend or turn towards midline

Question 2

What is the aetiology of Metatarsus adductus

Answer 2

-Abnormal uterine position
Tight or malinsertions of:
-abductor hallucis
-tibialis anterior
-tibialis posterior
-contracted joint capsule and lig of lisfranc
-tight tib ant secondary to weak peroneals

Question 3

Classification of type of MA?

Answer 3

Postural MA
-hallux adduction, during simulated weight bearing 
Simple MA
-trasnverse plane deformity at lisfranc 
Complex MA
-adduction and varus 
Skewfoot
-forefoot adduction and varus with rearfoot eversion and abduction at he midtarsal and subtalar joint

Question 4

Classification of severity?

Answer 4

Heel bisection exited

• Normal, 2nd and 3rd
• Mild, 3rd only
• Moderate,3rd and 4th
• Severe 4th and 5th

Question 5

Classification of flexibility?

Answer 5

Passive abduction of forefoot with stable rearfoot

• Flexible, complete abduction
• Partial, abduction to midline
• Rigid, no abduction possible

Question 6

Treatment

Answer 6

• correct it self in most cases
• Mobilisation techniques during nappy change
• splinting, mild to moderate flexible
• casting and splinting, moderate to severe