3-4 days free worldwide delivery

Calcaneovalgus Foot

by MASS4D® Prescription Orthotics August 19, 2018

Calcaneovalgus Foot

Talipes calcaneovalgus refers to a common paediatric foot deformity which stems from the intrauterine positioning of the child’s foot. The foot appears excessively dorsiflexed with the calcaneum in valgus and the dorsum of the foot making contact with the anterior aspect of the tibia.

As opposed to congenital vertical talus (CVT), a calcaneovalgus deformity does not involve shortening of the Achilles tendon or an equinus calcaneus. It is normally associated with external rotation of the calcaneus, an overstretched Achilles tendon and tightness in the anterior leg musculature.

Gore et al. describe the appearance of the calcaneovalgus foot as “up and out” with plantarflexion limited to a more neutral position as a result of the tight anterior soft tissue structures.

As stated by the authors, early treatment is often necessitated because of subsequent difficulties in the form of permanent muscle imbalance, peroneal tendon dislocation and delayed ambulation.


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


Depending on the extent of the severity, conservative treatment such as corrective stretching exercises implemented during early infancy can help in the resolution of mild-to-moderate cases of talipes calcaneovalgus deformity.

Mark A. Caselli, from the New York College of Podiatric Medicine, recommends serial immobilisation casting in the event that the foot fails to achieve full correction within three to four weeks of proper manipulation.

The author also recommends open toe straight last shoes and foot orthoses for maintaining optimal foot alignment following a stretching or casting regimen; it is essential to prevent recurrences by maintaining the corrected position after initial treatment of the deformity.

As the child matures, MASS4D® foot orthotics can be incorporated as part of a comprehensive active rehabilitation programme to provide further support to the foot in its optimally functional position while preventing the onset of other structural deformities.

This will promote normal ambulation to help the individual perform daily activities with much ease and agility and enhance postural stability to bring overall balance to the musculoskeletal system.

Copyright 2018 MASS4D® All rights reserved. 


Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more


Related Links
The Equinus Foot
The Achilles Tendinitis Conundrum
Peroneal Tendon Disorders

References:

  1. Chytas, A., Morakis, E. (2017) Foot disorders in children. Surgery – Oxford International Edition: January 2017, Vol. 35, No. 1, pp. 48-51. DOI: http://dx.doi.org/10.1016/j.mpsur.2016.10.007
  2. Radler, C. (2013) The Comprehensive Orthopaedic Review Course, The 14th EFORT Congress Istanbul, Turkey, June 6, 2013. EFORT.
  3. Caselli, M. (2007) Congenital Foot Deformities: A Guide To Conservative Care. Podiatry Today: August 2007, Vol. 20, No. 8. Retrieved from: http://www.podiatrytoday.com/
  4. Gore, A., Spencer, J. (2004) The Newborn Foot. American Family Physician: February 15, 2004, Vol. 69, No. 4, pp. 865-872.

Leave a comment

Comments will be approved before showing up.


Also in Clinicians Blog

Pilates For Posture
Pilates for Posture Improvement

by MASS4D® Prescription Orthotics November 11, 2018

The emphasis of pilates on core strengthening and improvement of posture makes it a good addition to treatment and rehabilitative strategies, especially those that are designed to minimise postural disparities.

Read More

Posterior Ankle Impingement Syndrome
Posterior Ankle Impingement Syndrome

by MASS4D® Prescription Orthotics November 04, 2018

Repetitive plantarflexion can lead to pain and mechanical limitation in the posterior ankle joint which is known as posterior ankle impingement syndrome. This pathology commonly occurs in ballet dancers and football players. 

Read More

Os Peroneum Syndrome
Treating Os Peroneum Syndrome

by MASS4D® Prescription Orthotics October 29, 2018

Clinical diagnosis of os peroneum syndrome should involve physical examination that can help reveal swelling over the cuboid with pain felt during palpation. The patient will feel this pain intensify during plantar flexion, and during the heel elevation stage of the gait process.

Read More