What is Calcaneovalgus Foot
A baby has calcaneovalgus (also known as talipes calcaneovalgus) when the foot medial arch is flat and the os calcis turns upwards and outwards. It is a condition that can be both unilateral or bilateral.
It can also occur in association with Metatarsus Adductus or Hip Dysplasia.
The dorsiflexion of the foot in the most severe cases allows the toe to come into contact with the tibial crest.
It may also involves a rear foot deviation in valgus and sometimes with a forefoot pronation.
Talipes Calcaneovalgus Causes
Calcaneovalgus is quite a common condition that results from a position in the womb and it is present at birth. It represents a very benign condition usually self resolving.
Talipes Calcaneovalgus Diagnosis
Calcaneovalgus Foot diagnosis can be done during a physical examination and it is important to rule out other conditions that can have similar signs but are more serious such as:
- Congenital vertical talus
- Neuromuscular disorders
- Posteromedial bowing of the tibia.
Child examination is normally satisfactory for differential diagnosis. If any doubt later on, X-rays and ultrasound may be prescribed by the orthopedic surgeon.
Calcaneovalgus foot treatment
Therapy usually starts with manipulations that aim to correct the deformity.
Braces or casting to produce a mild hypercorrection may be recommended depending on the severity and rigidity of the condition.
Surgery is necessary in very rare cases and it is aimed to lengthen the tendons of the dorsiflexor muscles.
Follow up is important to avoid the risk of a Flat Foot (Plano-valgus Foot)
About Prof. Portinaro
Professor Portinaro in his long-standing experience observed nearly 3000 cases resolving spontaneously.