Vertical talus - rocker bottom foot

Case contributed by Chris O'Donnell
Diagnosis certain

Presentation

Rigid flat feet since started walking

Patient Data

Age: 12 years
Gender: Female

Weight bearing series

x-ray

Obliquely oriented talus with the head sitting dorsal to the navicular. The head also sits medially, the sole of the foot is convex ("rocker bottom"), the forefoot is abducted and dorsiflexed and the hindfoot is in equinovalgus. Calcaneo-cuboid articulation can also be dislocated but not in this case

Case Discussion

This condition is characterized by an irreducible, dorsal dislocation of the navicular in relation to the talus and presents as a rigid flat foot.  It may be isolated or associated with chromosomal abnormalities, myelomeningocele and other neurologic disorders

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.