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Skewfoot
- Synonyms: Congenital metatarsus varus, Serpentine metatarsus adductus, S-shaped foot, serpentine foot, and Z-foot deformity
- Adducted metatarsals combined with valgus heel and plantarflexion of the talus
- Idiopathic vs improper casting for metatarsus adductus or clubfoot
- Natural hx unclear, some resolve spontaneously.
Skewfoot Clinical Evaluation
- Pain or callus formation under the head of the talus and base of 5th MT. Shoe wear problems
Skewfoot Treatment
- May resolve spontaneously
- Surgery indicated for persistent symptoms in children >6y/o. Opening wedge osteotomy of the calcaneous and medial cuneiform(Mosca, J Pediatr Orthop 1993;13:807-812)
Skewfoot References
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