Vertical Talus

Vertical Talus

Vertical Talus is a rare congenital foot deformity where the foot has a rigid, upward arch, resembling a "rocker-bottom" shape. Unlike flexible flatfoot, vertical talus is a stiff and severe deformity that requires specialized treatment. It is usually diagnosed at birth.

Early detection and timely intervention are critical in managing vertical talus effectively. Without treatment, children may experience difficulties with walking, balance, and pain as they grow. Modern treatment options, such as gentle stretching, serial casting, bracing, and corrective surgery when necessary, can significantly improve foot alignment and function. With proper care, most children with vertical talus can achieve improved mobility and lead active, healthy lives.

Causes

  • Abnormal development of the bones and joints in the midfoot during pregnancy.
  • Genetic syndromes or neuromuscular disorders like spina bifida or arthrogryposis.
  • Pain and shoe-fitting problems if untreated.
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Treatment Options

  • Early Intervention is critical for best results.
  • Serial Casting: Gentle manipulation and plaster casts to improve alignment.
  • Surgery: Often needed to correct the rigid deformity, involving tendon release or bone realignment.
  • Orthotics and Braces: Post-treatment support to maintain correction.
  • Physiotherapy: Helps strengthen foot muscles and improve mobility.

Prognosis

With timely correction, children can achieve near-normal foot function. Delayed treatment may lead to chronic pain, walking difficulties, and disability in adulthood.