AI Article Synopsis
- Metatarsus adductus (MA) is the most common congenital foot deformity, characterized by the forefoot being angled inward while the hindfoot remains properly aligned.
- Early diagnosis and treatment are crucial, particularly before 9 months of age, with mild to moderate cases often managed conservatively, while severe cases typically require specialist intervention.
- Recent advancements in orthotic devices show promise in effectively treating severe MA, potentially allowing primary care physicians to manage cases without needing referrals to specialists.
Article Abstract
Metatarsus adductus (MA), the most common congenital foot deformity, involves adduction of the forefoot at the tarsometatarsal joint, with normal hindfoot alignment. Early diagnosis is important because treatment is more successful if initiated before age 9 months. Treatment of MA depends on deformity severity, in which mild to moderate deformity can be treated conservatively. Current standard of care for severe or rigid deformity involves referral by primary care physicians to specialists for management by casting and splinting. Recently, several orthoses have demonstrated equal effectiveness to casting and may allow for primary care physicians to treat MA without the need for referral. In this review article, we provide an overview of MA and discuss diagnosis and treatment. We also discuss novel devices and suggest how they may affect the future management of severe and rigid MA. .
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| http://dx.doi.org/10.3928/19382359-20240206-02 | DOI Listing |
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