A vertical talus or a congenital vertical talus is a rare disability of the foot which is normally found at birth. It's an extreme kind of flat foot which can affect one or the two feet. The talus bone is a smaller bone within the rearfoot that points ahead generally in a horizontal direction and sits between the tibia and fibula bones of lower leg and the heel bone to create the ankle joint structure. With a foot with congenital vertical talus, the talus is directed down towards the floor in a vertical position. The results with this is usually a stiff and rigid foot without any arch which is often called a rocker bottom foot. The issue may appear by itself or can be part of a wider syndrome such as arthrogryposis or spina bifida. Also there is a mild type of this disability referred to as oblique talus which is halfway between the horizontal and vertical types of the deformity. This type is a lot more flexible and only appears when weightbearing.
A congenital vertical talus is typically clinically diagnosed at birth, however it can sometimes be picked up with sonography in the pregnancy. An evaluation of the feet will probably identify the issue and is used to establish just how rigid it is. There is generally no pain at first, however, if it is not dealt with the foot will remain deformed and with later walking it's going to commonly turn out to be painful. An x-ray will certainly see the talus in a increased vertical position. A number of doctors consider a congenital vertical talus to be a mild type of a clubfoot.
Normally, some surgical procedures are usually necessary to deal with the congenital vertical talus problem. However, the pediatric doctor may like to try a period of stretching out or casting to try and increase the flexibility and position of the foot first. While in just a few cases will this do away with the necessity of surgical treatment altogether it is more likely to help reduce the amount and magnitude of surgical procedures that is needed and result in a improved outcome from surgery. Bracing is required over a number of clinic visits and replaced weekly to help keep moving the foot right into a more corrected placement. When there is insufficient of an improvement because of this method then surgery will probably be needed. The level of the surgical procedures could count on just how much the casting altered the foot and how rigid the problem is. When the foot is rigidly misshaped, then this surgery will have to be more considerable and is usually carried out just prior to 1 year old. The whole purpose of the surgical treatment is to correct the position of the bones inside the foot. To do this normally requires a few tendons and ligaments to become lengthened to permit the bones of the foot to be moved. These bones are then kept in place using pins and put in a brace. These pins usually get taken out after 4 to 6 weeks. A particular shoe or brace might need to be worn for a period of time soon after that to continue to keep the correction.