Calcaneovalgus and Congenital Vertical Talus

Abstract

Pediatric flatfoot deformities present at birth are seen with varying degrees of severity. Two commonly seen deformities are calcaneovalgus and congenital vertical talus. Calcaneovalgus is a flexible dorsiflexion and eversion deformity and is easily reducible. Mild cases are often self-correcting, while more severe cases require manual manipulation and serial casting. Congenital vertical talus is a rigid deformity of the vertically orientated talus associated with dorsolateral and equinus contractures. This deformity is often associated with genetic or neuromuscular disorders. The preferred treatment is a combination of serial casting and minimally invasive surgical intervention. Casting has been found to be rarely successful in isolation. This chapter will discuss in detail the diagnosis and treatment of each of these deformities.