Metatarsus Adductus: Understanding and Addressing Inward-Turned Toes in Children

 

Metatarsus adductus, a common congenital foot deformity, is characterized by an inward curvature of the forefoot, causing the toes to point towards each other. While often presenting at birth, it can also develop later in childhood. Dr. Vidyasagar, a renowned pediatric orthopedic surgeon, delves into the intricacies of metatarsus adductus, its diagnosis, and treatment options.

Understanding Metatarsus Adductus

Metatarsus adductus typically affects both feet, with the toes turning inwards at a 15-degree angle or more. The condition is usually flexible in newborns, meaning the foot can be manipulated to a normal position. However, in some cases, it becomes rigid, requiring treatment.

Causes of Metatarsus Adductus

The exact cause of metatarsus adductus remains unclear, but it is thought to be related to one or more of the following factors:

  • Intrauterine positioning: The cramped space in the womb may cause the forefoot to bend inward.

  • Abnormal muscle development: Tightness or imbalance in the foot muscles can contribute to the inward curvature.

  • Genetic predisposition: There may be a genetic link to the condition.

Symptoms and Diagnosis

Metatarsus adductus is usually noticeable at birth or shortly after. The inward turning of the toes is the most obvious symptom. Other signs may include:

  • High arches

  • A wide gap between the big toe and the second toe

  • Difficulty walking or running

Diagnosis is typically based on a physical examination and observation of the child's gait. X-rays may be ordered to confirm the deformity and rule out other conditions.

Long-Term Outcomes

With timely diagnosis and appropriate treatment, most children with metatarsus adductus grow out of the condition and have normal foot development. However, in some cases, persistent inward turning of the toes may affect gait and shoe wear.

If you have concerns about your child's foot development, consult the best pediatric orthopedic Surgeon,  Dr. Vidyasagar. His expertise and personalized approach will ensure your child receives the best possible care and treatment for metatarsus adductus.

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