Foot Deformity
A newborn is noted to have rigid "rocker-bottom" feet bilaterally with convex plantar surfaces. The hindfoot is in fixed equinovalgus and the forefoot is abducted and dorsiflexed. Lateral radiograph shows the talus in fixed vertical position with the navicular dislocated dorsally onto the talar neck. Maximum plantarflexion lateral view fails to align the talo-first metatarsal axis. Genetic testing reveals trisomy 18. Regarding congenital vertical talus:
Mark each as TRUE or FALSE
Congenital vertical talus (CVT) is a rigid flatfoot deformity characterized by irreducible dorsal di...
CVT is associated with neuromuscular conditions (myelomeningocele, arthrogryposis) and genetic syndr...
CVT is a flexible deformity that resolves spontaneously; the navicular is dislocated plantarly; the ...
Radiographic diagnosis requires lateral views in maximum plantarflexion and dorsiflexion: in CVT, th...
Treatment has evolved from extensive surgical release to the "reverse Ponseti" method: serial castin...
Answer the questions to see explanations
Click T (True) or F (False) for each option