Rocker bottom foot

Case contributed by Dr Dalia Ibrahim

Presentation

Newborn with multiple facial and body anomalies. Skeletal survey is performed.

Patient Data

Gender: Male
X-ray

Vertically oriented talus bones of both feet, calcaneus is in equinus (plantar flexion), a convex rounded sole, everted forefoot secondary to convex deformity of the plantar foot. Navicular bones are not yet ossified. 

Unremarkable X-ray of the pelvis and spine.

No evidence of spina bifida. 

Case Discussion

Rocker bottom feet also known as congenital vertical talus, is an anomaly of the foot.

It is characterized by a prominent calcaneus (heel bone) and a convex rounded bottom to the foot. It is usually associated with spina bifida, myelomeningocele, Patau's syndrome (trisomy 13), Edwards syndrome (trisomy 18) as well as trisomy 9. 

Acquired rocker bottom deformity occurring secondary to a underlying neuromuscular disorder or diabetic foot (Charcot joint).

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Case information

rID: 38210
Case created: 10th Jul 2015
Last edited: 24th Apr 2016
Tag: neonate
Inclusion in quiz mode: Included

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