Foot Deformaties

Overlapping

A toe that goes over the top of an adjcent toe

Polydactyly

An supernumberatory digit

Syndactyly

Webbed Toe

Adducto Varus toes

Toes that migrate to the midline of the body

Hallux Varus

Hallux migrates to midline of body

Macrodactyly

enlargement of one or more toe

Microdactyly

Isolated deformatity of lesser toes

Brachymetatarsia

Shortening of one or more metatarsal

Accessory Tarsal Navicular

Def:

A small accessory bone found in the mid foot.

effects 10% of all human beings can effect dynamic support of longitudual arch

treatment is often a plaster cast and excision if required,

aims to reduced pressure point if painful.

Footwear advice

Talipes Calcaneovalgus

Def:dorsiflexion and eversion of entire foot

30-50% foot deformaties at birth

Plaster cast and stretching excercises

Postural Metatarsus Adductus

Forefoot adducted when hindfoot neutral

Spontaneous correction

Talipes Equinovarus/ Clubed foot

Heel inverted, forefoot and midfoot inverted and adducted.

Foot has a club foot apperance rocker bottom and lateral malleolus is very promenant

Unknown cause

Genetic

1-2 per 1000 births

50% bilateral

65% male

AIm: painless, Surgery, resolves with walking

COngential convex pes valgus

Primary dorsal and lateral dislocation of talocalcanonavicular joint, navicular locks talus into a vertical plantar-flexed position

Bilateral in 50% of cases

2-4 in every 1,000 births

imaging xray

Surgery

manipulative stretches and casting

excision

Tarsal coalition

Congential bridging of 2 or more tarsal bones, deep pain.

0.03-0.4% of population

No gender preferance

Often Bilateral

X-ray-both feet

C.T.

Synostosis

Bony coalition

cartilagenous coalition

Synchondrosis

Syndesmosis

Fibrous coalition

Talipes Calcaneo Valgus

Total subtalar foot abduction and dorsiflexion

Metatarsals in valgus

mid dorsiflexion

Conservative treatment

Flexible Flat foot

The flattening of the medial longitudinal arch on weight bearing

Rarely causes disability or pain

Arch developes between 4-7 years of age

10-23% of adults remain to have flat foot

Investigate pain

TA stretches, supportive footwear

Reassurance

Stew foot

Z shaped foot

Difficultly with footwear

X-ray

Surgical

Metatarsus Adductus

Medial deviation of forefoot

3% of births

Bilateral

87% resolves by age of 6

95% resolves by age of 16

intoeing after walkign age

x-ray

Flexible/rigid