[Congenital foot abnormalities].
Abstract: The foot may be the site of birth defects. These abnormalities are sometimes suspected prenatally. Final diagnosis depends on clinical examination at birth. These deformations can be simple malpositions: metatarsus adductus, talipes calcaneovalgus and pes supinatus. The prognosis is excellent spontaneously or with a simple orthopedic treatment. Surgery remains outstanding. The use of a pediatric orthopedist will be considered if malposition does not relax after several weeks. Malformations (clubfoot, vertical talus and skew foot) require specialized care early. Clubfoot is characterized by an equine and varus hindfoot, an adducted and supine forefoot, not reducible. Vertical talus combines equine hindfoot and dorsiflexion of the forefoot, which is performed in the midfoot instead of the ankle. Skew foot is suspected when a metatarsus adductus is resistant to conservative treatment. Early treatment is primarily orthopedic at birth. Surgical treatment begins to be considered after walking age. Keep in mind that an abnormality of the foot may be associated with other conditions: malposition with congenital hip, malformations with syndromes, neurological and genetic abnormalities.
Copyright © 2014 Elsevier Masson SAS. All rights reserved.
Publication Date: 2014-12-15 PubMed ID: 25524290DOI: 10.1016/j.arcped.2014.11.009Google Scholar: Lookup
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Summary
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The research is about congenital foot abnormalities; how they are detected before or after birth, types of deformities, their treatments, and their possible association with other conditions.
Types of Foot Abnormalities
- The simplest form of deformities include metatarsus adductus (bending or turning of the foot), talipes calcaneovalgus (upward and outward tilt of the foot) and pes supinatus. These malpositions have an excellent prognosis and can improve naturally or with orthopedic treatment.
- More complex deformities include clubfoot (rigid foot with an inward and downward tilt), vertical talus (an abnormality where the front part of the foot is pointed up and back towards the shin), and skew foot (an uncommon condition where the foot bends inward). These conditions require specialized early care and cannot be reduced or corrected simply.
Treatment for Foot Abnormalities
- Mild malpositions respond well to orthopedic treatments and surgery is rarely necessary. Pediatric orthopedic consultation is advised if the malposition doesn’t improve after a few weeks.
- Severe malformations like clubfoot, vertical talus, and skew foot would require early specialized care. Orthopedic treatment usually starts at birth. Surgical intervention is considered late, after the child starts walking.
Association with Other Conditions
- Foot abnormalities may be associated with other conditions. Simple malpositions can be associated with congenital hip defects.
- Complex malformations could be linked with syndromes or neurological and genetic abnormalities.
The paper emphasizes early detection and treatment of foot abnormalities to prevent and reduce complications in children. Special care is advised in case of severe malformations. The possibility of foot abnormalities being indicators for other medical issues is also highlighted.
Cite This Article
APA
Delpont M, Lafosse T, Bachy M, Mary P, Alves A, Vialle R.
(2014).
[Congenital foot abnormalities].
Arch Pediatr, 22(3), 331-336.
https://doi.org/10.1016/j.arcped.2014.11.009 Publication
Researcher Affiliations
- Service de chirurgie orthopédique pédiatrique, université Pierre-et-Marie-Curie Paris 6, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France. Electronic address: docteur.delpont@gmail.com.
- Service de chirurgie orthopédique pédiatrique, université Pierre-et-Marie-Curie Paris 6, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France. Electronic address: thiblaff@gmail.com.
- Service de chirurgie orthopédique pédiatrique, université Pierre-et-Marie-Curie Paris 6, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France. Electronic address: manon.bachy@trs.aphp.fr.
- Service de chirurgie orthopédique pédiatrique, université Pierre-et-Marie-Curie Paris 6, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France. Electronic address: pierre.mary@trs.aphp.fr.
- Service de chirurgie orthopédique pédiatrique, université Pierre-et-Marie-Curie Paris 6, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France. Electronic address: alex_a_84@hotmail.com.
- Service de chirurgie orthopédique pédiatrique, université Pierre-et-Marie-Curie Paris 6, hôpital Armand-Trousseau, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France. Electronic address: raphael.vialle@trs.aphp.fr.
MeSH Terms
- Foot Deformities, Congenital / diagnosis
- Humans
- Infant, Newborn
Citations
This article has been cited 1 times.- Mazzotti A, Sgubbi F, Arceri A, Di Paola G, Artioli E, Zielli SO, Marcucci L, Guindani N, Faldini C, De Pellegrin M. Skewfoot Deformity: State of the Art. Children (Basel) 2025 Jun 12;12(6).
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