Congenital metatarsus varus, a common problem in infants and young children, is also known as metatarsus varus if the forefoot is supinated addition adduct. It affects both boys and girls, and is bilateral in approximately 50% of cases.
There are hereditary tendencies, as it tends to be more frequent in the first-born as a result of excessive molding effect primigravid uterus and abdominal wall.
About 10% of children with metatarsus adductus may have acetabular dysplasia in all children with metatarsus adductus is convenient careful examination of the hips, in suspected cases should be obtained radiographs of the pelvis.
The forefoot is adducted and sometimes supination, mid foot and hind foot are normal. The lateral border of the foot is convex and the base of the fifth metatarsal bone is prominent. The medial border of the foot is concave, there is often increased space between the first and second toe with hallux varus position. The dorsal and plantar flexion of the foot are normal, the mobility of the forefoot can vary from flexible to rigid.
The latter is explored by stabilizing the hind foot and mid foot in a neutral position with one hand and applying pressure on the first metatarsal head with the other. In the child who walks with a deformity of this kind is not corrected, may occur up to the foot inward and abnormal wear shoes.
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