Congenital Vertical Talus
Congenital vertical talus (CVT) is an uncommon foot deformity diagnosed at birth that gives the foot a 'rocker-bottom' appearance. The cause is not exactly known, but about 50% of children with this condition will have other associated disorders such as arthrogryposis, spina bifida, or chromosomal disorders.
In CVT, one or both feet may be affected. Although the foot is not painful during early childhood, treatment is recommended to prevent pain, loss of function and difficulty with shoe wear in the future.
What is the Talus?
The talus is a bone in the foot that sits between the shin bone (tibia) and the heel. It functions to help transfer weight from the lower part of the leg onto the foot.
In CVT, the axis of the talus bone is oriented abnormally vertically rather than horizontally. The bone in front of the talus, the navicular, is dislocated on top of the talus, giving the foot its "rocker-bottom" appearance.
Vertical Talus Treatment
Early treatment of CVT by a pediatric orthopaedic surgeon is recommended.
A series of specific manipulations and cast applications are initially done, followed by a limited surgical procedure. The goal of treatment is to provide a functional, stable, pain-free foot throughout your child's life. Unless the vertical talus is associated with another condition that limits function, those children with corrected congenital vertical talus can run, play, and wear normal shoes in the future.
If your child has congenital vertical talus and you have questions about treatment, schedule an appointment with Children's Ortho of Atlanta today. Our team of orthopaedic doctors can walk you through your options.