Skew foot is a rare type of flat foot described as a "Z" foot or serpentine foot. It is characterized by forefoot adduction and hindfoot valgus.
Radiographic features
Plain radiograph
On standing radiographs the following features are seen:
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AP
abduction at mid tarsal joints with adduction of metatarsals ("Z" configuration)
first metatarsal base will typically lie lateral to the mid-talar axis
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lateral
reduced calcaneal pitch
plantar flexion of talus