Congenital steep talus: Difference between revisions
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==Links== | ==Links== | ||
===References=== | ===References=== | ||
*{{ | *{{Cite | ||
| | |type = book | ||
| | |surname1 = DUNGL | ||
| | |name1 = P. | ||
| | |others = yes | ||
| | |title = Ortopedie | ||
| | |edition = 1 | ||
| | |location = Praha | ||
| | |publisher = Grada Publishing | ||
| | |year = 2005 | ||
|isbn = 80-247-0550-8 | |isbn = 80-247-0550-8 | ||
}} | }} | ||
*{{ | *{{Cite | ||
| | |type = book | ||
| | |surname1 = SOSNA | ||
| | |name1 = A. | ||
| | |surname2 = VAVŘÍK | ||
| | |name2 = P. | ||
| | |surname3 = KRBEC | ||
| | |name3 = M. | ||
| | |surname4 = POKORNÝ | ||
| | |name4 = D. | ||
| | |others = yes | ||
| | |title = Základy ortopedie | ||
| | |edition = 1 | ||
| | |location = Praha | ||
| | |publisher = Triton | ||
| | |year = 2001 | ||
|isbn = 80-7254-202-8 | |isbn = 80-7254-202-8 | ||
}} | }} | ||
*{{ | *{{Cite | ||
| | |type = book | ||
| | |surname1 = KOUDELA | ||
| | |name1 = K. | ||
| | |others = yes | ||
| | |title = Ortopedie | ||
| | |edition = 1 | ||
| | |location = Praha | ||
| | |publisher = Karolinum | ||
| | |year = 2004 | ||
|isbn = 80-246-0654-2 | |isbn = 80-246-0654-2 | ||
}} | }} | ||
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*[[Polohové vady nohy|Positional defecets of the leg]] | *[[Polohové vady nohy|Positional defecets of the leg]] | ||
*[[Pes equinovarus congenitus]] | *[[Pes equinovarus congenitus]] | ||
</noinclude>[[ | </noinclude> | ||
[[Category:Orthopedics]] | |||
[[Category:Genetics]] | |||
[[Category:Paediatrics]] | |||
Latest revision as of 19:26, 21 December 2023
Congenital steep talus (talus verticalis, congenital flat foot) is a relatively rare defect (1:100,000). Its etiology is unclear, often associated with other defects.
Clinical Aspect[edit | edit source]
- The Achilles tendon is shortened, the whole leg is in a valgus position, the talus is in a vertical position, the head of the talus protrudes on the inner and plantar surface of the foot (talus in marked plantiflexion) and forms the top of the cradle ( "cradle foot", in Czech "noha kolébková" ).
- as a result of the vertical position of the talus and the less pronounced equinosity of the calcaneus with simultaneous dorsal luxation of the os naviculare, a rigid congenitally flat foot results
- deep skin furrows in front of the ankle joint and below the outer ankle
- the main sign is rigidity, the front part of the leg is in dorsiflexion and correction to the plantigrade position is not possible
- dg. determined by clinical and X-ray examination
X-ray Image[edit | edit source]
- vertical position of the talus, which is oriented in the extension of the axis of the tibia, with which it forms an angle of 170–180° (hence the steep talus)
- s naviculare lies on the dorsal surface of the neck of the talus
Treatment[edit | edit source]
- treatment is problematic and almost always surgical (it always involves the lengthening of the Achilles tendon), we start with it immediately after the diagnosis is established
- it can be preceded by an effort to reduce the deformity with straightening plaster bandages
- during the operation, we try to reposition the bones in the correct position by loosening the soft tissues, which we fix with Kirschner wires
Links[edit | edit source]
References[edit | edit source]
- DUNGL, P., et al. Ortopedie. 1. edition. Praha : Grada Publishing, 2005. ISBN 80-247-0550-8.
- SOSNA, A. – VAVŘÍK, P. – KRBEC, M., et al. Základy ortopedie. 1. edition. Praha : Triton, 2001. ISBN 80-7254-202-8.
- KOUDELA, K., et al. Ortopedie. 1. edition. Praha : Karolinum, 2004. ISBN 80-246-0654-2.
