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Medial angulation of the 1st, 2nd, 3rd and 4th metatarsals. Similar abnormalities are present in the left foot (not shown) but to a much lesser degree.
Metatarsus adductus in the right foot
Metatarsus adductus is a condition with the following features:
- medial displacement of the metatarsals on the cuneiform
- forefoot is adducted at the tarsometatarsal joint
- usually seen in the first year
- is bilateral in 50% of patients, may be associated with hip displasia
- is caused by intrauterine position
Regarding treatment, metatarsus adductus resolves with conservative treatment in >80% of cases. Casting may be used in patients, refractory to conservative treatment, up to the age of five. Rarely tarsometatarsal releases or metatarsal osteotomies are required.
- Gentili A, Masih S, Yao L et-al. Pictorial review: foot axes and angles. Br J Radiol. 1996;69 (826): 968-74. Br J Radiol (abstract) - doi:10.1259/0007-1285-69-826-968 - Pubmed citation
- Dawoodi AI, Perera A. Radiological assessment of metatarsus adductus. Foot Ankle Surg. 2012;18 (1): 1-8. doi:10.1016/j.fas.2011.03.002 - Pubmed citation
- Castro WHM, Jerosch J, Jr. TWG et-al. Examination and Diagnosis of Musculoskeletal Disorders. Thieme. (2001) ISBN:1588900320. Read it at Google Books - Find it at Amazon