alexa Idiopathic Congenital Vertical Talus (CVT)
ISSN: 2572-0775

Clinical Pediatrics: Open Access
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Case Report

Idiopathic Congenital Vertical Talus (CVT)

Aftab Ahmed1*, Ghulam Mahboob2, Irfanullah Ansari2 and Tahir Mehboob2

1Orthopedic Department, Ward 14, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

2Department of Orthopedic Surgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan

*Corresponding Author:
Aftab Ahmed
M.D, Orthopedic Department
Ward 14, Jinnah Postgraduate Medical Centre
Karachi, Pakistan
Tel: 0092-333-3643383
E-mail: [email protected]

Received Date: October 23, 2015 Accepted Date: January 15, 2016 Published Date: January 28, 2016

Citation:Ahmed A, Mahboob G, Ansari I, Mehboob T (2016) Idiopathic Congenital Vertical Talus (CVT). Clin Pediatr 1: 103. doi: 10.4172/2572-0775.1000103

Copyright: © 2016 Ahmed A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

 

Abstract

CVT is a rare, severe, important deformity. This case report is to highlight the importance of deformity and early notification. Surgical correction as one stage procedure is probably the best procedure. CVT has no sex prevalence, bilateral in 50% of cases and more than 50% of cases a secondary cause implicated. Pathological anatomy involves dislocation of the talonavicular articulation with the oscalcis. Navicular bone is displaced onto the dorsolateral aspect of the talar head. Diagnostic criteria for CVT were persistent talonavicular dislocation on forced plantar flexion of foot. Talus axis and metatarsal base axis angles (TAMBA) and Calcaneal Axis and metatarsal axis (CAMBA) are introduced. TAMBA and CAMBA enable us to describe the obliquity of the talus and calcaneus, also the severity of the dislocation of the talonavicular joint and the contracture of the tendo Achilli. The current treatment is a one-stage open reduction of the talonavicular dislocation, combined with a posterior release. A subtalar bone block is often imperative to maintain correction. The surgery for (CVT) can lead complications.

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