Congenital Vertical Talus
Isolated congenital vertical talus (CVT) is a rare pedal deformity recognizable at birth by a dislocation of the talonavicular joint, resulting in a characteristic radiographic near-vertical orientation of the talus.
Clinical description
It occurs more commonly in males than females. Some patients have vertical talus in one foot and clubfoot in the other.
Etiology
The etiology and epidemiology of this condition are largely unknown. The reported familial cases are consistent with an autosomal dominant mode of inheritance with incomplete penetrance and mutations in HOXD10 gene have been detected in two families.
Management and treatment
Serial manipulation and cast immobilization followed by limited surgery provides excellent results.