Congenital Vertical Talus


Congenital Vertical Talus, Convex Pes Valgus

  • Associated Conditions (Comorbid neurological disorders in 60% cases)
  1. Spina bifida or meningomyelocele
  2. Arthrogryposis
  • Signs
  1. Foot with "Rocker-bottom" appearance
  2. Rigid foot with tight heel cord
  3. Reversed longitudinal arch
    1. Convex plantar surface
  4. Plantar flexion of Ankle Joint
  5. Midfoot and hindfoot are dorsiflexed
  • Differential Diagnosis
  1. Out-toeing (Talipes Calcaneovalgus)
    1. More mild changes than Convex Pes Valgus
  • Management
  1. Stretching may be tried as with Talipes Calcaneovalgus
  2. Surgery required in most cases