Metatarsus adductus

Case contributed by Dr Basab Bhattacharya
Modality: X-ray

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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Case Information

rID: 10145
Case created: 7th Jul 2010
Last edited: 30th Sep 2015
Inclusion in quiz mode: Included

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