Saturday, February, 11, 2012

Metatarsus adductus

Table of Contents

Alternative Names

Metatarsus varus; Forefoot varus


Treatment

Treatment depends on how rigid the foot is when the doctor tries to straighten it.

If the foot is very flexible and easy to straighten or move in the other direction, no treatment may be needed. You child will be followed closely for a period of time.

In most children, the problem corrects itself as they use their feet normally. They don't need any further treatment.

If the problem does not improve or your child's foot is not flexible enough, other treatments will be tried:

  • Stretching exercises may be needed. These are done if the foot can be easily moved into a normal position. The family will be taught how to do these exercises at home.
  • Your child may need to wear a splint or special shoes, called reverse-last shoes, for most of the day. These shoes hold the foot in the correct position.

Rarely, your child will need to have a cast on the foot and leg. Casts work best if they are put on before your child is 8 months old. The casts will probably be changed every 1 - 2 weeks.

Surgery may be needed, but not very often. Most of the time, your doctor will delay surgery until your child is between 4 and 6 years old.

A pediatric orthopaedic surgeon should be involved in treating more severe deformities.


Support Groups


Expectations (prognosis)

The outcome is almost always excellent. Nearly all patients eventually have a normal looking and working foot.


Complications

A small number of infants with metatarsus adductus may have developmental dislocation of the hip.


Calling your health care provider

Call your health care provider if you are concerned about the appearance or flexibility of your infant's feet.


Review Date: 10/31/2010
Reviewed By: C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org)