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Metatarsus Adductus Updated 4/2010

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BASICS

  • Description
  • General Prevention
  • Epidemiology
  • Risk Factors
  • Etiology
  • Associated Conditions

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • General Measures
  • Special Therapy
  • Surgery

Ongoing Care

  • Prognosis
  • Complications
  • Patient Monitoring
The following is an excerpt....
BASICS
Description
  • Metatarsus adductus is a deformity in which the forepart of the foot is adducted or medially deviated (Fig. 1); the heel is in neutral or mild valgus position.
  • The most common foot condition seen by those caring for children
  • It appears in the newborn.
  • Classification (1) is based on flexibility: Flexible (correctable with manipulation) or rigid (a continuum)
  • Degree of deformity:
    • Based on heel bisector method: The line bisecting the heel is drawn by visual examination of the foot’s sole; it normally crosses between 2nd and 3rd toes.
      • Mild: Heel bisector crosses the 3rd toe.
      • Moderate: Heel bisector crosses between the 3rd and 4th toes.
      • Severe: Heel bisector crosses between the 4th and 5th toes.
  • Synonyms: Metatarsus ...

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Fig. 1. Metatarsus adductus is characterized by a deviated forefoot but a normal hindfoot and ankle.