Metatarsus adductus is common deformity in the pediatric population with the incidence being 1 in 100. It expresses in the inward position of the forefoot in relation to the rear foot.
While the deformity can be congenital, it is sometimes due to the position of the baby in the uterus. The parents are usually concerned of the constant tripping and falling of the child.
When treatment starts early after birth, there is high possibility that the deformity can be corrected by serial casting. A low percentage of cases are resistant to conservative treatments like casting and manipulation. In these cases your surgeon will determine what kind procedure is needed based on the severity of the deformity and the age of the child.
It is very important that your surgeon is accustomed to pediatric deformity as the diagnosis of metatarsus adductus should be carefully made.
Other conditions can cause the foot to turn in; like internal tibial torsion and femoral anteversion. Part of the examination should include a full biomechanical examination of the lower extremity to make sure the diagnosis is precise.
Job Timeny, DPM
in Limb Lengthening and Limb Deformity Correction
Foot and Ankle Surgeon