From the case:
Metatarsus adductus
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Medial angulation of the 1st, 2nd, 3rd and 4th metatarsals. Similar abnormalities are present in the left foot (not shown) but to a much lesser degree.
CONCLUSION:
Metatarsus adductus in the right foot
Case Discussion
Metatarsus adductus is a condition with the following features:
- medial displacement of the metatarsals on the cuneiform
- forefoot is adducted at the tarsometatarsal joint
- usually seen in the first year
- is bilateral in 50% of patients, may be associated with hip displasia
- is caused by intrauterine position
Regarding treatment, metatarsus adductus resolves with conservative treatment in >80% of cases. Casting may be used in patients, refractory to conservative treatment, up to the age of five. Rarely tarsometatarsal releases or metatarsal osteotomies are required.
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