Vertical talus, also known as congenital vertical talus or convex pes valgus, is a rare foot deformity in which the talus bone (the bone that connects the foot to the ankle) is abnormally positioned, causing the foot to be in a fixed and rigid upward position. Here are some key facts about vertical talus:
Causes:
- The exact cause of vertical talus is not known, but it is believed to be a congenital condition that occurs during foetal development.
- It may be associated with other genetic syndromes or abnormalities, such as arthrogryposis or spina bifida.
Symptoms:
- Symptoms of vertical talus include a visible upward curve of the foot, with the heel tilted downward and the front of the foot pointing upward.
- The foot may also be stiff and rigid, making it difficult or impossible to flex the ankle.
- In some cases, there may be pain or discomfort in the foot or ankle.
Diagnosis:
- A diagnosis of vertical talus is usually made based on a physical examination of the foot and the patient’s medical history.
- X-rays or other imaging tests may be ordered to confirm the diagnosis and assess the severity of the deformity.
Treatment:
- Treatment for vertical talus usually involves surgery to correct the position of the talus bone and realign the foot.
- Depending on the severity of the deformity, surgery may involve releasing or lengthening tight or shortened tendons and ligaments, and/or placing pins or screws to hold the bones in the correct position.
- In some cases, casting or bracing may be used before or after surgery to support the foot and aid in healing.
Prognosis:
- With appropriate treatment, most cases of vertical talus can be corrected.
- However, the success of treatment depends on the severity of the deformity and the age of the patient at the time of treatment.
- Patients with vertical talus may need long-term monitoring and follow-up to ensure that the foot remains properly aligned and to address any future complications.