metatarsus adductus

Etiology

• malposition in the womb, malpresentation

Epidemiology

• fairly common

Physical examination

• careful examination of hip recommended

Clinical manifestations

• front of the foot is bent or angled in toward the middle of the foot (metatarsak adduction)
• the back of the foot & the ankles are normal
• 50% with bilitaterl deformity

Management

• in most children, the problem resolves as they use their feet normally
• less commonly
  • stretching exercises may be needed.
  • splint or special shoes called reverse-last shoes
• rarely
  • orthopedic cast
  • orthopedic surgery

More general terms

• congenital anomaly (birth defect)