Rocker bottom foot

Rocker bottom foot, also known as congenital vertical talus, is an anomaly of the foot.[1] It is characterized by a prominent calcaneus (heel bone) and a convex rounded bottom of the foot.[2] It gets its name from the foot's resemblance to the bottom of a rocking chair.

Rocker bottom foot
Other namesCongenital vertical talus
SpecialtyMedical genetics

It can be associated with Edwards' syndrome (trisomy 18), Patau syndrome (trisomy 13), Trisomy 9 and mutation in the gene HOXD10.[3] It can also be associated with Charcots foot.

Treatment

Type II should be managed conservatively whereas type I and Ia requires to be treated surgically.[4] Surgery involves four major steps:[4]

  • Development of the calcaneal part of the foot
  • Repositioning of the navicular bone
  • New adjustment of the ankle, and
  • Various stabilization measures including the Grice operation and transposition of various tendons.

References
  1. "The Newborn Foot - February 15, 2004 - American Family Physician". Retrieved 2009-04-08.
  2. "Pediatric Pathology". Retrieved 2009-04-08.
  3. Gurnett CA, Keppel C, Bick J, Bowcock AM, Dobbs MB (September 2007). "Absence of HOXD10 mutations in idiopathic clubfoot and sporadic vertical talus". Clinical Orthopaedics and Related Research. 462: 27–31. doi:10.1097/BLO.0b013e31805d8649. PMID 17417092.
  4. Schulitz, KP; Schumacher, G; Parsch, K (February 1977). "Congenital rocker-bottom foot (author's transl)". Zeitschrift für Orthopädie und ihre Grenzgebiete. 115 (1): 55–67. PMID 320773.
Classification


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