Babies with this condition are born with their foot and ankle excessively bent up, where the toes are usually touching the shin. This deformity may also present in older children, but is usually a manifestation of another condition.
1. Although the true cause of valgus calcaneus foot is undetermined, the theory is that this is part of intrauterine “packaging” disorder. In other words, it reflects the baby's foot position in the womb.
The cause of clubfoot is unknown (idiopathic), but it may be a combination of genetics and environment.
2. In calcaneal valgus, the foot is in extreme dorsiflexion, with the dorsal surface touching the anterior shin.
3. This condition is perhaps the most common non-serious foot condition seen in the newborn nursery.
4. Intrauterine positioning generally causes this deformity.
5. Mild calcaneal valgus occurs in up to 30% of newborns.
6. Severe calcaneal valgus is seen in 1 per 1,000 newborns.
Valgus calcaneus foot is obvious at birth. The foot is usually partially corrected, so the foot can be brought to the “normal” 90 degrees ankle position. It can present as unilateral or bilateral, and it may be associated with other conditions, namely: posterior-medial bowing of the tibia, which leads to the leg being curved and shorter in the affected site, vertical talus where the talus bone is not in its correct position causing the entire foot to look deformed, muscle imbalance or nerve injury usually seen in older children.
Foot points upward and outward,In extreme cases, the top of the foot touches the front of the lower leg
The forefoot is dorsiflexed and abducted and the heel is in a valgus position
Physical therapy,Steroid therapy,Rehabilitation,Surgery