Calcaneal Valgus Foot

• Often noted in the newborn nursery; represents an intra-uterine positional deformity
• Exam: top of forefoot is usually noted to be lying against the antero-lateral tibia; ankle joint is dorsiflexed and subtalar joint is everted
• Treatment: stretching exercises (plantar flexion 15-20 times TID). Short leg cast in plantar flexion for 3 weeks if stretching exercises doesn’t help
• Picture: talipes calcaneovalgus

CHLA Board review 2005