Bilateral congenital vertical talus - rocker bottom foot

Case contributed by Salman S. Albakheet
Diagnosis certain

Presentation

Bilateral abnormal feet configuration with a history of spina bifida.

Patient Data

Age: 18 months
Gender: Female

Bilateral vertically oriented talus bones of both feet. Bilateral equinus calcaneus.

The sole of both feet is a rounded convex rounded "rocker bottom".

Navicular bone is not yet ossified bilaterally.

Case Discussion

Rigidity and irreducibility of talonavicular dislocation are characteristic features of congenital vertical talus. Oblique talus is one of the main differential diagnoses of congenital vertical talus, which hasn't rigid deformity (reducible).

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