Congenital Vertical Talus: Symptoms, Treatment, and Prognosis

Congenital vertical talus is a rare foot deformity that can cause significant disability if left untreated. Learn about the symptoms, treatment options, and prognosis for this condition

Congenital Vertical Talus Overview

Congenital Vertical Talus (CVT) is a rare foot deformity that affects infants. If left untreated, it can lead to significant disability and impaired mobility. In CVT, the foot is fixed in a rigid and abnormal position, causing the child's foot to point upward and the heel to tilt downward. This condition requires early diagnosis and appropriate treatment to achieve the best outcomes.

Symptoms of Congenital Vertical Talus

The most common symptoms of CVT include a foot with a rocker-bottom appearance, a prominent heel, and a rigid foot that cannot be manipulated into a normal position. Children with CVT may also experience pain, difficulty walking, and may have trouble fitting into regular shoes. It is important to recognize these symptoms early to ensure timely intervention.

Treatment Options for Congenital Vertical Talus

The treatment of CVT usually involves a combination of non-surgical and surgical approaches. Non-surgical interventions may include stretching exercises, physical therapy, and the use of orthotic devices. In more severe cases, surgery may be required to correct the alignment of the foot and restore its function. The specific treatment plan will depend on the severity of the condition and the child's individual needs.

Prognosis and Outlook

With early and appropriate treatment, the prognosis for children with CVT is generally favorable. However, the outcome may vary depending on the severity of the deformity and the effectiveness of the chosen treatment approach. Regular follow-up appointments with healthcare professionals are important to monitor the child's progress and make any necessary adjustments to the treatment plan.

Conclusion

Congenital Vertical Talus is a rare foot deformity that requires early diagnosis and appropriate treatment. By understanding the symptoms, treatment options, and prognosis for this condition, parents and healthcare professionals can work together to provide the best possible care and improve the child's quality of life.

Congenital vertical talus (CVT) is a rare foot deformity that typically presents at birth or within the first few months of life. It is characterized by a severe rocker-bottom deformity of the foot, in which the talus bone is dislocated and the navicular bone is dorsiflexed. This can cause significant disability if left untreated.

Symptoms

The most common symptoms of CVT include:

  • A rigid, plantarflexed hindfoot
  • A prominent dorsum of the foot
  • A shortened Achilles tendon
  • Decreased range of motion in the ankle
  • Difficulty weight bearing
  • Pain or discomfort when walking or standing

If you suspect your child has CVT, it is important to seek a professional medical opinion as soon as possible.

Treatment

The treatment for CVT typically involves serial casting, which is a method of gradually correcting the deformity over time. In some cases, surgery may be required to correct the deformity.

There are several surgical procedures that may be used to treat CVT, including:

  • Triple arthrodesis
  • Talectomy
  • Tendon transfers
  • Soft tissue releases

The choice of procedure will depend on the severity of the deformity and the age of the patient. Your doctor will work with you to come up with a treatment plan that is right for you or your child.

Prognosis

The prognosis for CVT is generally good, especially when the condition is diagnosed and treated early. With proper treatment, most patients are able to achieve a functional and pain-free foot.

If you suspect you or your child may have CVT, it is important to seek a professional medical opinion and begin treatment as soon as possible.

Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233129/, https://www.orthobullets.com/pediatrics/4056/congenital-vertical-talus

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