Vertical talus: Current diagnostic and therapy options [Talus verticalis: Aktuelle Diagnose- und Therapieoptionen]

被引：0

作者：

Arbab D. ^{[1
]}

Rath B. ^{[1
]}

Quack V. ^{[1
]}

Lüring C. ^{[1
]}

Tingart M. ^{[1
]}

机构：

[1] Klinik für Orthopädie, Universitätsklinikum Aachen, Pauwelsstr. 30

来源：

Der Orthopäde | 2013年 / 42卷 / 6期

关键词：

Congenital convex pes valgus; Foot deformity; Pediatric foot; Physiological reconstruction; Rocker-bottom foot;

D O I：

10.1007/s00132-013-2089-x

中图分类号：

学科分类号：

摘要：

Congenital vertical talus is a rare condition which presents as an isolated deformity or in association with neuromuscular and/or genetic disorders. Pathoanatomically the deformity shows a dislocated talonavicular and subtalar joint. The etiology and pathogenesis are still not finally determined although in some cases a genetic basis has been identified. The clinical picture is that of a flat, convex longitudinal arch with abduction and dorsiflexion of the forefoot and an elevated heel. Clinical diagnosis is confirmed by plain radiographic imaging. Congenital vertical talus should not be confused with other deformities of the foot, such as congenital oblique talus, flexible flat feet or pes calcaneus. The object of treatment of congenital vertical talus is to restore a normal anatomical relationship between the talus, navicular and calcaneus to obtain a pain-free foot. Major reconstructive surgery has been reported to be effective but is associated with substantial complications. Good early results of a modified non-operative treatment using serial manipulation, cast treatment and minimally invasive surgery may change therapeutic concepts. © 2013 Springer-Verlag Berlin Heidelberg.

引用

页码：402 / 408

页数：6