Congenital vertical talus

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  1. Definition of CVT
    Irreducible dorsal dislocation of navicular on talus causing rigid flatfoot
  2. CVT associated with 3
    • Myelomeningocele
    • Arthrogryposis
    • Diastematomyelia
  3. CVT: bony deformity
    soft tissue deformity
    • Bony: irreducible dorsolateral navicular dislocation + vertical talus + calcaneus eversion
    • SOft tissue: Peroneus longus + tib post act as dorsi flexors + achilles contracture
  4. Oblique talus definition
    TN subluxation that reduces with forced plantarflexion
  5. Baby with rigid rockerbottom foot: dx
    CVT
  6. X ray assement in cvt
    Forced plantar flexion lateral x ray: Line drawn across talus passes below first metatarsal cuneiform axis
  7. MGMT of CVT
    Casting followed by soft tissue release/lengthening + open reduction and pinning of TN joint

Card Set Information

Author:
dcc77
ID:
336588
Filename:
Congenital vertical talus
Updated:
2017-12-06 13:49:02
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Description:
Orthobullets
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