Understanding congenital vertical talus - 17/11/22

Doi : 10.1016/j.mporth.2022.09.002

Anna HK. Riemen ^{^{1
These authors contributed equally to this paper.}}, Apurv Gabrani ^{^{1
These authors contributed equally to this paper.}}, Michael Lumsden ^{^{1
These authors contributed equally to this paper.}}, Donald Campbell, Felicity J. Pease, Simon L. Barker
Anna HK Riemen BSc Hon Biochem MBChB MRCS Ed PhD FRCS (Tr & Orth), SCREDS Clinical Lecturer in Musculoskeletal Sciences and Speciality Registrar in Trauma and Orthopaedic Surgery, Aberdeen Centre for Musculoskeletal Health, University of Aberdeen, UK. Conflicts of interest: none declared
Apurv Gabrani MBBS DNB Orthopaedics, International Training Fellow, Aberdeen Royal Infirmary, UK. Conflicts of interest: none declared
Michael Lumsden MBChB Foundation Doctor, Trauma Unit, Aberdeen Royal Infirmary, UK. Conflicts of interest: none declared
Donald Campbell MBChB FRCS Ed (Tr & Orth) Consultant Paediatric Orthopaedic Surgeon Department of Orthopaedics, Tayside Children's Hospital, UK. Conflicts of interest: none declared
Felicity J Pease MBChB FRCS (Tr & Orth) Consultant Paediatric Orthopaedic Surgeon Royal Aberdeen Children's Hospital, UK. Conflicts of interest: none declared
Simon L BarkerMBBS MD FRCS (Tr & Orth) Consultant Paediatric Orthopaedic Surgeon Royal Aberdeen Children's Hospital, UK. Conflicts of interest: none declared

Abstract

Congenital vertical talus (CVT) is a rare foot deformity that presents with a rigid flat foot at birth. CVT can present as an isolated abnormality in the newborn, however in at least 50% of cases in association with other conditions. Full neuro-axial imaging is essential to detect any associated neurologic problems. Radiographs of the foot, including forced plantar and dorsiflexion laterals, are diagnostic. Gold standard modern treatment uses the Dobbs method of serial manipulation and casting with minimally-invasive stabilization of the talonavicular joint and Achilles tendon tenotomy.

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Keywords : congenital vertical talus, Dobbs method, reverse Ponseti