Orthopedics Book

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Congenital Vertical TalusAka: Convex Pes Valgus

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  1. Associated with neurological disorder in 60% cases
    1. Spina bifida or meningomyelocele
    2. Arthrogryposis
  2. Signs
    1. Foot with "Rocker-bottom" appearance
    2. Rigid foot with tight heel cord
    3. Reversed longitudinal arch
      1. Convex plantar surface
    4. Plantar flexion of ankle joint
    5. Midfoot and hindfoot are dorsiflexed
  3. Differential Diagnosis
    1. Out-toeing (Talipes Calcaneovalgus)
      1. More mild changes than Convex pes valgus
  4. Management
    1. Stretching may be tried as with Talipes Calcaneovalgus
    2. Surgery required in most cases
  5. References
    1. Hoppenfeld (1976) Exam. Spine Extremities, p.159-60,223
    2. Churgay (1993) Am Fam Physician 47(4):883
    3. Gore (2004) Am Fam Physician 69(4):865
    4. Hoffinger (1996) Pediatr Clin North Am 43:1091

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