What is talus deformity?
Congenital vertical talus is a rare congenital foot deformity in which the sole of a child’s foot flexes abnormally in a convex position giving the foot a rocker-bottom appearance. For this reason, this condition is often called rocker-bottom foot.
Can vertical talus be corrected?
Some surgery is usually needed to correct the vertical talus deformity. Before surgery, however, your doctor may recommend a trial of stretching or casting to improve the flexibility of the foot. This may decrease the amount of surgery that is needed, or, in some cases, prevent the need for surgery all together.
Is vertical talus clubfoot?
About Clubfoot and Vertical Talus Clubfoot is a common birth defect, affecting approximately 1 out of every 1,000 newborns. Vertical talus is less common, affecting about 1 out of every 10,000 newborns. These conditions may affect one foot or both, with problems ranging from mild to serious.
How common is congenital vertical talus?
Congenital vertical talus, also known as congenital convex pes valgus, is an uncommon foot deformity that is present at birth and has an estimated incidence of 1 in 10,000 [1].
What is oblique talus deformity?
In children, with oblique talus, the talus bone is positioned in the wrong direction while weight bearing but aligns normally when the foot is pointed down. The foot appears to be more severe than the usual flatfoot, but less severe than a foot with vertical talus.
How do you fix rocker bottom of feet?
Treatment recommendations include early plaster casting in plantar flexion and inversion to stretch ligaments (talonavicular, deltoid, and calcaneal cuboidal) and muscles (triceps surae and peroneous brevis) that are tight. Surgical reconstruction of the foot itself is also used as treatment.
How does a broken talus bone heal?
Most of the time fractures involving the talus require surgery. However, if the fracture is in a good alignment and seems stable, you might be treated without surgery using a splint or cast. If the bones are shifted out of place, surgery is usually needed to reset the bones.
Is clubfoot considered high risk pregnancy?
Isolated clubfeet will not affect your pregnancy. However, if your child has another birth defect that accompanies clubfeet, you may need more frequent monitoring to evaluate your child’s well-being during the pregnancy.
How is vertical talus diagnosed?
Pediatric orthopaedic doctors are able to diagnose vertical talus by simply examining the child. Your doctor may order a special X-ray of your child’s foot to confirm the diagnosis.
Is vertical talus genetic?
The underlying cause of vertical talus is usually not known. It can occur by itself (isolated) or may be associated with a genetic syndrome or neuromuscular disorder . Rare familial cases have been reported, some due to a mutation in a gene called HOXD10.
What do rocker bottom feet look like?
A rocker bottom foot (also known as a congenital vertical talus) is a congenital anomaly of the foot. It is characterized by a prominent calcaneus/heel and a convexly rounded sole.
Is there such a thing as a vertical talus?
Vertical talus is a rare deformity of the foot which is diagnosed at the time of birth. Because babies are born with the condition, it is also known as congenital vertical talus. It is one of the causes of a flatfoot in the newborn. One foot, or both feet, may be affected.
What kind of birth defect is vertical talus?
Summary Summary. Congenital vertical talus, sometimes called “rocker-bottom foot,” is a rare birth defect of the foot in which the talus bone has formed in the wrong position and other foot bones have shifted on top of it.
What is the treatment for congenital vertical talus?
Treatment. Congenital vertical talus should be treated early to avoid pain and disability when the child learns to walk. The most common treatment is surgery, but some doctors may first recommend trying nonsurgical treatment. This may include a series of stretching and serial casting to increase the flexibility of the foot.
What causes a talus to point straight down?
In this x-ray, the talus is pointing straight down. The exact cause of vertical talus in not known. Many cases of vertical talus, however, are associated with a neuromuscular disease or other disorder, such as arthrogryposis, spina bifida, neurofibromatosis, and numerous syndromes.