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metatarsus adductus

Causes

A congenital foot deformity, metatarsus adductus, involves the front half of the foot turning inward. The exact cause is unknown, but several factors are thought to contribute:

  • During pregnancy, the feet can turn inward due to limited space in the uterus.

  • Metatarsus adductus is associated with a family history of foot deformities.

Symptoms

Symptoms of metatarsus adductus appear at birth or within the first few months of life.

  • The forefoot curves inward, while the hindfoot remains straight.

  • The foot can often be straightened by hand when it has a flexible deformity.

  • In some children, the affected foot may also have a high arch.

  • When a child begins to walk, they may exhibit abnormal gait patterns.

Diagnosis

Physical examinations and imaging studies are typically used to diagnose metatarsus adductus:

  • The shape and flexibility of the foot will be examined by a healthcare provider.

  • In some cases, X-rays are taken to determine the severity of the deformity and rule out other conditions.

Treatment

Metatarsus adductus treatment depends on the severity of the condition and the child's age:

  • Mild cases often resolve on their own without treatment.

  • To correct the foot position, parents can teach stretching exercises.

  • In severe cases, serial casting may be used to gradually correct the deformity.

  • Maintaining the correct foot position may require special shoes or braces.

  • For severe or rigid cases that do not respond to other treatment, surgery may be necessary.

Prevention

Since metatarsus adductus is primarily a congenital condition, there is no way to prevent it. However, early detection and intervention can prevent complications:

  • Ensure regular pediatric check-ups to help detect and manage diseases early.

  • Early intervention and treatment compliance can be improved by educating parents about the condition and proper foot care.

Conclusion

The metatarsus adductus is a congenital foot deformity characterized by an inward turning of the forefoot. It is important to diagnose and treat the condition early to prevent complications and ensure normal foot development. In order to manage this condition effectively, regular pediatric check-ups and parental education play a vital role. Treatment options include simple observation and stretching exercises, castings and, in rare cases, surgery.

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