Robert A. Hoekelman, MD; Maurice J. Chianese, MD
MANAGEMENT
Metatarsus adductus is a functional deformity and requires no treatment because it corrects spontaneously, usually during the first year. Talipes varus and metatarsus varus are fixed deformities of the foot that require early treatment. Treatment consists of serial casting, long-leg splints that abduct the forefoot, or both. Abduction stretching exercises and out-flare last shoes may be used as an adjunct to cast treatment but should not be relied on as the only therapy. Primary care physicians see metatarsus adductus frequently and observe its resolution without treatment, whereas orthopedists are more likely to see talipes varus and metatarsus varus through referrals, sometimes unfortunately in late infancy when treatment results are less satisfactory.
Chapter 183: Foot and Leg Problems is a sample topic found in AAP Textbook of Pediatric Care
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