In some children, the foot points in outward and upward position. This foot deformity is known as Calcaneovalgus foot. It gives an abnormal shape to the foot. One or both foot may be affected. Calcaneovalgus foot condition is congenital meaning it exists from birth. No pain is indicated in this condition. Usually this disorder disappears with time.
Basically, more girls are seen to have calcaneovalgus foot condition than boys. The causes include:
- Abnormal foot positioning while in uterus
- Hip dysplasia
- Weak plantarflexors
- Muscle deformity
The cacaneovalgus foot involves following symptoms:
- Presence of dorsiflexor contracture
- Dorsiflexed marked foot
- Stretched foot deformity
The calcaneovalgus foot is easily noticeable. However, tests such as x-ray, is done to detect any other defects. According to the need of the patient, both non-surgical and surgical procedures can be selected.
- Non-surgical Treatment:
Normally, the abnormality in foot corrects with time and needs no treatment. If correction is not seen then a plantarflexon-inversion casting method is used. The cast holds the affected leg in correct position. Orthotic devices are seen to provide no improvement. For treating imbalance in muscles, ankle foot orthot are used.
- Surgical Treatment:
Surgery is merely used to treat calcaneovalgus foot. It is difficult to assess the actual result of surgery. The surgery mainly involves transfer of tendons. In some cases, the release of plantar fascia is also required. In addition to these treatments, calcaneal elongation osteotomy is also done.
The patient is advised to have complete rest for 1-2 weeks. Regular cold packs applied on the operated part relief the pain and swelling. Along with rest, the child should practice simple exercises. They help the child to regain body movement and posture.
Calcaneovalgus foot surgery has the following risks:
- Irregular foot
- Abnormality in posture