Vertical talus - rocker bottom foot

Case contributed by Dr Chris O'Donnell

Presentation

Rigid flat feet since started walking

Patient Data

Age: 12 years
Gender: Female
X-ray

Weight bearing series

Obliquely oriented talus with the head sitting dorsal to the navicular. The head also sits medially, the sole of the foot is convex ("rocker bottom"), the forefoot is abducted and dorsiflexed and the hindfoot is in equinovalgus. Calcaneo-cuboid articulation can also be dislocated but not in this case

Case Discussion

This condition is characterized by an irreducible, dorsal dislocation of the navicular in relation to the talus and presents as a rigid flat foot.  It may be isolated or associated with chromosomal abnormalities, myelomeningocele and other neurologic disorders

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Case information

rID: 19534
Published: 20th Sep 2012
Last edited: 28th Sep 2019
Inclusion in quiz mode: Included

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