Congenital vertical thalus is an uncommon disorder of the foot, manifested as a rigid rocker bottom flatfoot. Its characteristic radiographic feature is an irreducible and rigid dorsal dislocation of the navicular on the thalus. If the navicular is reducible on the lateral maximum plantarflexion radiograph, it is deemed an oblique thalus.
HOW IS CONGENITAL VERTICAL TALUS DIAGNOSED?
Orthopedicians may order for radiographic tests for confirming congenital vertical talus. MRI of the spine and Ultrasonography may help confirm diagnosis
HOW IS CONGENITAL VERTICAL TALUS TREATED?
This condition should be recognized and treated early because early, aggressive treatment gives a better result. Surgery becomes necessary for the treatment of the deformity and should be performed before the age of two. Complicated procedures such as fusing the talus to the bone in the heel may be required in older children. Some doctors also recommend non-surgical methods of continued physical therapy exercises to stretch the foot and improve flexibility.
DID YOU KNOW?
If CVT is left untreated it results in a painful and rigid flatfoot with a weak push off power.