Congenital vertical talus (CVT) is an uncommon foot deformity diagnosed at birth that gives the foot a 'rocker-bottom' appearance. The cause is not exactly known, but about 50 percent of children with this condition will have other associated disorders, such as arthrogryposis, spina bifida or chromosomal disorders. Although CVT is not painful during early childhood, treatment is recommended to prevent pain, loss of function and trouble with wearing shoes in the future.
What is the Talus?
The talus is the bone in the foot that sits between the shinbone (tibia) and the heel and helps transfer weight from the lower part of the leg onto the foot.
If your child has CVT, the axis of the talus bone is oriented vertically rather than horizontally. The bone in front of the talus, the navicular, is dislocated on top of the talus, giving the foot its "rocker-bottom" appearance.
Vertical Talus Treatment
Early treatment of CVT by a pediatric orthopaedic surgeon is recommended. Our specialists successfully treat congenital vertical talus in younger children with a method similar to the Ponseti method used to treat clubfoot. Treatment consists of stretches and a series of casts, followed by a limited surgical procedure. The goal of treatment is to provide a functional, stable, pain-free foot throughout your child's life. Unless the vertical talus is associated with another condition that limits function, those children with corrected congenital vertical talus can run, play and wear normal shoes in the future.