Metatarsus adductus is a common congenital foot deformity, is characterized by inward deviation of the forefoot. It Is the most common foot abnormality, observed in newborns at a rate of 1-2 per 1000 live birth. When the deformity 15 more rigid, it Is characterized by a vertical crease in the medial aspect of the arch. Angulation occurs at the base of the fifth metatarsal causing prominence of this bone. Most flexible deformities are secondary to intrauterine positioning and usually resolve spontaneously. Several investigators have noticed that 10%-15% of children with metatarsus adducts have hip dysplasia therefore, a careful hip examination is necessary. The etiology of rigid deformity is unknown.
Treatment Fully deformity requires no treatment. If the deformities is rigid and cannot be manipulated past the midline, it is worthwhile to perform serial casting, with cast changes in 1-to 2-week internals, to correct the deformity. Orthoses and corrective shoes do not improve symptoms; however, they can be used to maintain the correction obtained by casting. Along with that homoeopathic treatment will be helpful in correction of metarsus adducts.
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