Metatarsus adductus

Case contributed by Dr Pir Abdul Ahad Aziz Qureshi

Presentation

A 10 year old boy with congenitally deformed feet came to the x-ray department for workup.

Patient Data

Age: 10 years
Gender: Male
x_ray

There is medial deviation of the first metatarsal with medial displacement of the other metatarsals on the cuneiforms bilaterally representing bilateral metatarsus adductus.

Case Discussion

Club foot consists of four components:

  1. Hindfoot equinus 
  2. Hindfoot varus
  3. Metatarsus adductus
  4. Talonavicular subluxation

In metatarsus adductus there is medial deviation of the first metatarsal with medial displacement of the other metatarsals on the cuneiforms (talus to first metatarsal angle greater than 15º).

It is usually bilateral and may be associated with dysplasia of hip joint. It can be congenital or acquired and is considered as the most common congenital foot abnormality. It is associated with: hallux valgus deformity, congenital club foot, developmental dysplasia of the hip.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.