A vertical talus or a congenital vertical talus is a infrequently found deformity of the foot which is usually found at birth. It is an extreme kind of flatfoot which could impact one or the two feet. The talus is a smaller bone in the rearfoot that points ahead generally in a horizontal direction and is placed between the tibia and fibula bones of the leg and the heel bone to form the ankle joint complex. In a foot with congenital vertical talus, the talus bone points towards the ground in a vertical direction. The results with this may be a stiff and rigid foot without any arch which is usually known as a rocker bottom foot. The issue can occur by itself or may be a part of a wider syndrome such as arthrogryposis or spina bifida. There is also a mild type of this disability known as oblique talus which is midway between the vertical and horizontal forms of the deformity. This type is a lot more flexible and only appears when weightbearing.
A congenital vertical talus is commonly determined at birth, however it can occasionally be picked up on sonography during the pregnancy. An examination of the feet will usually identify the issue and it is used to determine exactly how inflexible it is. There is certainly frequently no pain initially, however, if it is left untreated the foot will stay deformed and with later walking it's going to commonly become symptomatic. An x-ray will certainly observe the talus in its more vertical alignment. Some experts look at a congenital vertical talus as a minor type of a clubfoot.
Generally, some surgical treatment is typically needed to deal with the congenital vertical talus problem. However, the pediatric surgeon may want to use a amount of stretching or casting to try and improve the mobility and position of the foot first. While in not very many cases will this do away with the requirement for surgery treatment completely it is more likely to reduce the amount and magnitude of surgical procedures that is required and lead to a far better final result from surgery. Bracing is required over a number of visits and changed weekly to help keep moving the foot into a a lot more fixed posture. If there is not enough of an improvement with this approach then surgery will probably be required. The level of the surgery may count on just how much the casting modified the foot and just how rigid the problem is. In the event the foot is rigidly deformed, then the surgery will need to be a lot more substantial and it is generally performed before one year old. The entire purpose of the surgical procedure is to correct the position of the bones inside the foot. To achieve this normally requires some tendons and ligaments to be lengthened to allow the bones in the foot to be relocated. These bones will be kept in place using pins and placed in a cast. These bone pins normally get taken out following 4 to 6 weeks. A special shoe or splint may need to be used for a period of time following that to continue to keep the correction.