Rocker bottom foot
Classification and external resources
Rocker bottom foot, also known as congenital vertical talus, is an anomaly of the foot. It is characterized by a prominent calcaneus (heel bone) and a convex rounded bottom to the foot. It gets its name from the foot's resemblance to the bottom of a [2 ] rocking chair.
It can be associated with
Patau's syndrome (trisomy 13), Edwards' syndrome (trisomy 18) as well as Trisomy 9 and mutation in the gene HOXD10. It can also be associated with [3 ] Charcots foot.
Treatment [ edit ]
Type II should be managed conservatively whereas type I and Ia requires to be treated surgically.
Surgery involves four major steps: [4 ] [4 ]
Development of the calcancal part of the foot
Repositioning of the navicular bone
New adjustment of the ankle, and
Various stabilization measures including the Grice operation and transposition of various tendons.
References [ edit ]
^ "Pediatric Pathology" . Retrieved 2009-04-08.
^ Gurnett CA, Keppel C, Bick J, Bowcock AM, Dobbs MB (September 2007). "Absence of HOXD10 mutations in idiopathic clubfoot and sporadic vertical talus". Clinical Orthopaedics and Related Research 462: 27–31. doi: 10.1097/BLO.0b013e31805d8649. PMID 17417092.
^ a b Schulitz, KP; Schumacher, G; Parsch, K (1977 Feb). "Congenital rocker-bottom foot (author's transl)". Zeitschrift fur Orthopadie und ihre Grenzgebiete 115 (1): 55–67. PMID 320773.