Medial subluxation of long head biceps
Definition
Medial subluxation of long head of biceps tendon out of groove and into rotator interval
tenotomy
Management
Non operative
Ponseti casting
Aims of treatment
1. Correct the deformity early
2. Correct it fully
3. Hold the corrected position until foot stops growing
- AFO
- Denis Browne Boots
Timing
Start 1 - 3 weeks
- let parents settle and get used to diagnosis
- explain method and length of treatment required
Congenital vertical talus
Definition
Rockerbottom foot / Persian Slipper Foot
Epidemiology
Uncommon
50% bilateral
Doesn't delay walking
- may present in toddler with callus under talus head
Associations
Congenital anomalies
- CNS disorders
- spina bifida & diastematomyelia ~10%
- arthrogryposis
- neurofibromatosis