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Skewfoot

MedGen UID:
1719591
•Concept ID:
C5397666
•
Anatomical Abnormality
Synonyms: Skew foot; Skew-foot
 
HPO: HP:0032649

Definition

A type of flat-foot characterized by hindfoot abductovalgus, metatarsus adductus, and Achilles tendon shortening. The predominant radiographic findings include forefoot adduction with lateral subluxation of the navicular on the talus and heel valgus. Very abnormal shoe wear is noted on the medial side. Calluses occur under the metatarsal heads and the head of the plantar-flexed talus. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSkewfoot

Professional guidelines

PubMed

Pediatric flatfoot: evaluation and management.
Sullivan JA
J Am Acad Orthop Surg 1999 Jan;7(1):44-53. doi: 10.5435/00124635-199901000-00005. PMID: 9916191

Recent clinical studies

Etiology

Forefoot malformations, deformities and other congenital defects in children.
Rampal V, Giuliano F
Orthop Traumatol Surg Res 2020 Feb;106(1S):S115-S123. Epub 2019 Oct 21 doi: 10.1016/j.otsr.2019.03.021. PMID: 31648997
Ultrasound evaluation of foot deformities in infants.
Miron MC, Grimard G
Pediatr Radiol 2016 Feb;46(2):193-209; quiz 190-2. Epub 2015 Oct 12 doi: 10.1007/s00247-015-3460-3. PMID: 26459012
Skewfoot.
Napiontek M
J Pediatr Orthop 2002 Jan-Feb;22(1):130-3. PMID: 11744869
Idiopathic forefoot-adduction deformity: medial capsulotomy and abductor hallucis lengthening for resistant and severe deformities.
Asirvatham R, Stevens PM
J Pediatr Orthop 1997 Jul-Aug;17(4):496-500. PMID: 9364391
A reappraisal of metatarsus adductus and skewfoot.
Berg EE
J Bone Joint Surg Am 1986 Oct;68(8):1185-96. PMID: 3771600

Diagnosis

Forefoot malformations, deformities and other congenital defects in children.
Rampal V, Giuliano F
Orthop Traumatol Surg Res 2020 Feb;106(1S):S115-S123. Epub 2019 Oct 21 doi: 10.1016/j.otsr.2019.03.021. PMID: 31648997
Ultrasound evaluation of foot deformities in infants.
Miron MC, Grimard G
Pediatr Radiol 2016 Feb;46(2):193-209; quiz 190-2. Epub 2015 Oct 12 doi: 10.1007/s00247-015-3460-3. PMID: 26459012
Pediatric metatarsus adductus and skewfoot deformity.
Hutchinson B
Clin Podiatr Med Surg 2010 Jan;27(1):93-104. doi: 10.1016/j.cpm.2009.09.005. PMID: 19963172
Metatarsus adductus and skewfoot deformity.
Wan SC
Clin Podiatr Med Surg 2006 Jan;23(1):23-40, vii-viii. doi: 10.1016/j.cpm.2005.10.008. PMID: 16598908
Metatarsus adductus and skewfoot.
Greene WB
Instr Course Lect 1994;43:161-77. PMID: 9097146

Prognosis

Forefoot malformations, deformities and other congenital defects in children.
Rampal V, Giuliano F
Orthop Traumatol Surg Res 2020 Feb;106(1S):S115-S123. Epub 2019 Oct 21 doi: 10.1016/j.otsr.2019.03.021. PMID: 31648997
Skewfoot.
Hagmann S, Dreher T, Wenz W
Foot Ankle Clin 2009 Sep;14(3):409-34. doi: 10.1016/j.fcl.2009.06.003. PMID: 19712883
Skewfoot.
Napiontek M
J Pediatr Orthop 2002 Jan-Feb;22(1):130-3. PMID: 11744869
Pediatric flatfoot: evaluation and management.
Sullivan JA
J Am Acad Orthop Surg 1999 Jan;7(1):44-53. doi: 10.5435/00124635-199901000-00005. PMID: 9916191
A reappraisal of metatarsus adductus and skewfoot.
Berg EE
J Bone Joint Surg Am 1986 Oct;68(8):1185-96. PMID: 3771600

Clinical prediction guides

Medium term outcomes of planovalgus foot correction in children using a lateral column lengthening approach with additional procedures 'a la carte'.
Akimau P, Flowers M
Foot Ankle Surg 2014 Mar;20(1):26-9. Epub 2013 Sep 7 doi: 10.1016/j.fas.2013.08.005. PMID: 24480495
Skewfoot.
Hagmann S, Dreher T, Wenz W
Foot Ankle Clin 2009 Sep;14(3):409-34. doi: 10.1016/j.fcl.2009.06.003. PMID: 19712883
Plantarflexion opening wedge medial cuneiform osteotomy for correction of fixed forefoot varus associated with flatfoot deformity.
Hirose CB, Johnson JE
Foot Ankle Int 2004 Aug;25(8):568-74. doi: 10.1177/107110070402500810. PMID: 15363379
Opening wedge osteotomy of the medial cuneiform before age 4 years in the treatment of forefoot adduction.
Napiontek M, Kotwicki T, Tomaszewski M
J Pediatr Orthop 2003 Jan-Feb;23(1):65-9. PMID: 12499946
Pediatric flatfoot: evaluation and management.
Sullivan JA
J Am Acad Orthop Surg 1999 Jan;7(1):44-53. doi: 10.5435/00124635-199901000-00005. PMID: 9916191

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