Congenital Vertical Talus Clinical Presentation

Updated: Aug 22, 2016
  • Author: Jeffrey D Thomson, MD; Chief Editor: Murali Poduval, MBBS, MS, DNB  more...
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Presentation

History and Physical Examination

Clinically, congenital vertical talus (CVT) presents as a rigid flatfoot with a rocker-bottom appearance of the foot. The calcaneus is in fixed equinus, and the Achilles tendon is very tight. The hindfoot is in valgus, and the head of the talus is found medially in the sole, creating the rocker-bottom appearance. The forefoot is abducted and dorsiflexed.

The foot is stiff. In ambulatory children, calluses can develop under the head of the talus, which is very prominent along the plantar-medial foot.

Associated genetic syndromes must be excluded; therefore, a consultation with a pediatric geneticist may be indicated.