#Congenital vertical talus

[drudaymeghnathi1]

Congenital vertical talus is an uncommon disorderliness. Its characteristic radiographic feature is irreducible. Symptoms of congenital vertical talus rocker-bottom appearance of the foot, upward flex of the mid, midfoot cannot be properly aligned. Contact us for more information!

[recentlyheardcom]

What is a congenital vertical talus in a child's foot?

Writer Craig Payne Revealed September 18, 2022 Phrase rely 538 A vertical talus or a congenital vertical talus is a uncommon incapacity of the foot that’s usually discovered at start. It is an extreme sort of flatfoot that will have an effect on one or each ft. The talus bone is a smaller bone within the rearfoot that factors frontward usually in a horizontal route and sits amongst the tibia…

[orthotv]

👨‍⚕️ Congenital Vertical Talus- Management Principles –Dr. Vrisha Madhuri

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[cancersfakianakis1]

Prenatal congenital vertical talus (rocker bottom foot): a marker for multisystem anomalies

Abstract

Background

Congenital vertical talus is a rare foot anomaly characterized by a prominent calcaneus and rigid forefoot dorsiflexion. While congenital vertical talus has been associated with anomalies such as trisomy 18, myelomeningocele and arthrogryposis, postnatal series have reported cases of isolated congenital vertical talus.

Objective

The purpose of our study was to determine the incidence of isolated congenital vertical talus prenatally and identify the most common anomalies associated with this finding.

Materials and methods

A retrospective review was performed of congenital vertical talus cases identified in our fetal center from 2006 to 2015. The prenatal US and MR imaging appearance of congenital vertical talus was evaluated and differentiation from congenital talipes equinovarus was assessed. Studies were evaluated for additional abnormalities affecting the central nervous system, face, limbs, viscera, growth and amniotic fluid. Imaging findings were recorded and correlated with outcomes when available.

Results

Twenty-four cases of congenital vertical talus were identified prenatally (gestational age: 19–36 weeks). All 24 had prenatal US and 21 also underwent fetal MRI on the same day. There were no isolated cases of congenital vertical talus in this series; all 24 had additional anomalies identified prenatally. Sixteen cases had bilateral congenital vertical talus (67%). Additional anomalies were identified in the brain (15), spine (11), face (6), abdominal wall (3), heart (8) and other limbs (12). Chromosomal abnormalities were identified in 6 of 20 patients who underwent genetic testing. Overall, US held some advantage in detecting the abnormality: in 10 cases, US depicted congenital vertical talus more clearly than MRI; in 8 cases, US and MRI were equal in detection and in 3 cases, MRI was superior. In 9/15 cases with intracranial abnormalities, MRI was superior to US in demonstrating structural anomalies. Outcomes included termination (11), intrauterine fetal demise (1), stillbirth or immediate neonatal demise (5), lost to follow-up (1), and 6 survivors with postnatal follow-up.

Conclusion

In our series, there were no cases of isolated congenital vertical talus, with additional anomalies variably affecting multiple systems including the brain, spine, face, viscera and limbs. When congenital vertical talus is identified prenatally, a thorough search for additional anomalies is indicated. Fetal MRI can be a useful adjunct in confirming the diagnosis and further delineating additional anomalies, particularly in the brain and spine.

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[neurogenpapers]

The 2017 ABJS Nicolas Andry Award: Advancing Personalized Medicine for Clubfoot Through Translational Research.

PubMed: Related Articles The 2017 ABJS Nicolas Andry Award: Advancing Personalized Medicine for Clubfoot Through Translational Research. Clin Orthop Relat Res. 2017 Feb 24;: Authors: Dobbs MB, Gurnett CA Abstract BACKGROUND: Clubfoot is one of the most common pediatric orthopaedic disorders. While the Ponseti method has revolutionized clubfoot treatment, it is not effective for all patients. When the Ponseti method does not correct the foot, patients are at risk for lifelong disability and may require more-extensive surgery. QUESTIONS/PURPOSES: (1) What genetic and morphologic abnormalities contribute to the development of clubfoot? (2) How can this information be used to devise personalized treatment paradigms for patients with clubfoot? METHODS: Human gene sequencing, molecular genetic engineering of mouse models of clubfoot, MRI of clubfoot, and development of new treatment methods all have been used by our group to understand the biological basis and improve therapy for this group of disorders. RESULTS: We gained new insight into clubfoot pathogenesis from our discovery that mutations in the PITX1-TBX4-HOXC transcriptional pathway cause familial clubfoot and vertical talus in a small number of families, with the unique lower limb expression of these genes providing an explanation for the lack of upper extremity involvement in these disorders. MRI studies revealed corresponding morphologic abnormalities, including hypomorphic muscle, bone, and vasculature, that are not only associated with these gene mutations, but also are biomarkers for treatment-resistant clubfoot. CONCLUSIONS: Based on an understanding of the underlying biology, we improved treatment methods for neglected and syndromic clubfoot, developed new treatment for congenital vertical talus based on the principles of the Ponseti method, and designed a new dynamic clubfoot brace to improve strength and compliance. PMID: 28236079 [PubMed - as supplied by publisher] http://dlvr.it/NVFzH1

[orthotv]

🔰 Fellows' Academic Round PEDIATRIC FOOT MODULE

📚 Session 7

🗓️ Date: Saturday, 27th July 2024 🕗 Time: 8:00 to 9:00 am IST

🔆Click to Watch : https://tinyurl.com/OrthoTV-Orthokids-71

✅ Topic & Faculty: Congenital Vertical Talus- Management Principles

👨‍⚕️ Dr. Vrisha Madhuri CMC Vellore, Tamil Nadu AMARA Hospital, Tirupati

🔆 Interesting Case Presentations by Fellows

👨‍⚕️ Moderator: Dr. Maulin Shah

🤝 OrthoTV Team Dr. Ashok Shyam, Dr. Neeraj Bijlani

📺 Streaming live on OrthoTV: www.orthotvonline.com

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[orthotv]

🔰 Fellows' Academic Round PEDIATRIC FOOT MODULE

📚 Session 2

📅 Date: Saturday, 8th June ⏰ Time: 8:00 to 9:00 am

🔆Click to Watch : https://tinyurl.com/OrthoTV-Orthokids-66

✅ Topic & Faculty: Congenital Vertical Talus - Management Principles

👩🏼‍⚕️ Dr. Vrisha Madhuri CMC Vellore, Tamil Nadu AMARA Hospital, Tirupati

🔆 Interesting Case Presentations by Fellows

👨‍⚕️ Moderator: Dr. Maulin Shah

🤝 OrthoTV Team: Dr. Ashok Shyam, Dr. Neeraj Bijlani

📺 Streaming live on OrthoTV: www.orthotvonline.com

▶️ Join OrthoTV - https://linktr.ee/OrthoTV

[orthotv]

Fellows’ Academic Round by Orthokids 📚Topic -Management of Congenital Vertical Talus. . 🔹Saturday, 31 December - 8:00 AM - 9:00 AM 💻Click to watch: https://bit.ly/OrthoTV-Orthokids-31 ✳️ Interesting Case Presentations: By fellows 👨‍⚕️ Faculty: Dr. Ashish Ranade, Pune 🔸Moderators: Dr Qaisur Rabbi Dr P. Godhasiri 🤝OrthoTV Team: Dr Ashok Shyam, Dr Neeraj Bijlani 📺Streaming live on OrthoTV www.orthotvonline.com ▶️Join OrthoTV - https://linktr.ee/OrthoTV #OrthoTwitter #orthopedics #orthopedicsurgery #orthopaedics